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Guidance for Hospitals and Acute Care Facilities Reporting of

Respiratory Pathogen, Bed Capacity, and Supply Data to CDC’s

National Healthcare Safety Network (NHSN)

Updated: November 17, 2023

Implementation Date: November 26, 2023

[CHANGE] Note: For ease of navigation, all changes as of this November 17, 2023 guidance have been

highlighted with [CHANGE]. This guidance update reflects the addition of new data elements available

for optional reporting to CDC's National Healthcare Safety Network (NHSN) of information related to

laboratory-confirmed influenza and laboratory-confirmed respiratory syncytial virus (RSV) infection.

There are no additions of required data elements or changes to existing data elements as a result of this

guidance update. Information on reporting to NHSN can be found here:

https://www.cdc.gov/nhsn/covid19/hospital-reporting.html.

Since March 29, 2020, the U.S. government has been collecting data from hospitals and states to

understand health care system stress, capacity, capabilities, and the number of patients hospitalized due to

COVID-19. As COVID-19 continues to evolve, Federal needs for data are also evolving. In an effort to

reduce burden while maximizing efficiency, the Federal government continues to evaluate data needs. All

data collected are driven by two core principles: 1) the data must drive action and/or 2) the data must

serve as a surveillance indicator for U.S. health care system stress, capacity, capability, and/or patient

safety. Significant consideration is also given to align with state, tribal, local, and territorial (STLT) needs

wherever possible and to minimize system changes and/or disruptions.

All hospitals have been required to report COVID-19 data daily to the Federal Government under the

CMS’ Conditions of Participation since September 2, 2020. Under the initial CMS Interim Final Rules

from 2020, the required reporting was scheduled to end at the conclusion of the COVID-19 Public Health

Emergency (PHE), which expired on May 11, 2023. On August 10, 2022, CMS finalized the annual IPPS

rule to amend the required reporting, which had several impacts for COVID-19 required reporting from

all hospitals:

• It extended reporting from the end of the current PHE through April 30, 2024, unless the

Secretary of the Department of Health and Human Services establishes an earlier end-date.

• It indicated that the number of required data elements would be fewer after the end of the PHE.

• It indicated that reporting submission would not be daily after the end of the PHE.

[CHANGE] The COVID-19 pandemic has underscored the public health threat of respiratory pathogens

and highlighted the need for comprehensive, real-time data for prevention and response purposes. In

addition to COVID-19, seasonal influenza and RSV can result in substantial burden on hospitals. For

those reason, following the expiration of the PHE in May 2023, and prior to the fall 2023 respiratory virus

season, optional collection of additional influenza data elements and new data elements capturing

information on respiratory syncytial virus (RSV) are now available for reporting as part of the COVID-19

hospital data collection through the Centers for Disease Control and Prevention (CDC)’s National

Healthcare Safety Network (NHSN). The addition of flu and RSV optional data fields can be used to

improve situational awareness of severe respiratory illness and assess potential impact of flu, COVID-19,

and RSV co-circulation, allow for hospitalization forecasting, resource allocation, and help inform

guidance and recommendations for public health professionals, clinicians, and the general public.

Understanding influenza and RSV hospitalizations and admissions can also help to understand potential

strains on the PPE supply chain.

This November 17, 2023 guidance update reflects additions to the COVID-19 hospital data reporting, to

include optional data fields for reporting influenza infection and RSV infection for adult and pediatric:

• New hospital admissions

• Hospitalized patients

• Hospitalized ICU patients

Reporting for the new influenza and RSV fields is optional and voluntary. The addition of the influenza

and RSV fields does not impact the FY 2023 Hospital Inpatient Prospective Payment System (IPPS) and

Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule (CMS-1771-F) for

hospital, critical access hospital (CAH), psychiatric facility, and rehabilitation facility infection

prevention and control conditions of participation (CoP) requirements for hospital COVID-19 data

reporting. Current processes for reporting hospital COVID-19 data to NHSN can continue exactly as is.

The following details the data elements, cadence, and how the data are being used in the federal response.

Appendix A includes a change log for comparison to previous hospital reporting guidance.

Who is responsible for reporting, and when is reporting required?

As of December 15, 2022, hospitals are responsible for reporting the information directly to the Federal

government using the Centers for Disease Control and Prevention (CDC)’s National Healthcare Safety

Network (NHSN). Facilities should report at the individual hospital level, even if hospitals share a

Centers for Medicare & Medicaid Services (CMS) Certification Number (CCN).

We recognize that some health care systems choose to report for all facilities in their network from a

central corporate location.

We also recognize that many states currently collect this information from the hospitals in their

jurisdiction. Therefore, hospitals may be relieved from reporting directly to the Federal government if

they receive a written release from the state indicating that the state is certified and will collect the data

from the hospitals and take over the hospital’s Federal reporting responsibilities. STLT partners may have

unique reporting requirements either related to or independent of the Federal reporting requirements.

Facilities are encouraged to work with their relevant STLT partners to ensure complete reporting.

To be considered “certified”, states must first receive written certification from their Administration for

Strategic Preparedness and Response (ASPR) Regional Administrator affirming that the state has an

established, functioning data reporting stream to the federal government that is delivering all information

shown in the table below at the appropriate daily frequency. States that take over reporting must provide

these data, regardless of whether they are seeking immediate federal assistance. States that are certified

are listed on healthdata.gov.

Cadence and Facility Type

As of the June 11, 2023 guidance, all hospitals (except psychiatric and rehabilitation hospitals) are

required to report daily data values weekly to NHSN. The weekly data submission should be submitted by

Tuesday, 11:59pm local time, and include daily data for each day in the previous week, defined as the

previous Sunday through Saturday. Example calendar is displayed below to demonstrate the weekly

reporting cadence change.

Example calendar view for reporting cadence:

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

June 11

June 12

June 13

June 14

June 15

June 16

June 17

Implementation date

June 18

June 19

June 20

June 21

June 22

June 23

June 24

Weekly submission

deadline (June 11-17)

June 25

June 26

June 27

June 28

June 29

June 30

July 1

Weekly submission

deadline (June 18-24)

July 2

July 3

July 4**

July 5

July 6

July 7

July 8

Weekly submission

deadline (June 25-July 1)

July 9

July 10

July 11

July 12

July 13

July 14

July 15

Weekly submission

deadline (July –July 8)

**For Tuesday deadlines falling on federal holidays, the reporting deadline will shift to Wednesday of the

same week.

Data should NOT be aggregated to weekly values; values for each day in the reporting period should be

reported separately.

All hospitals are asked to follow the direction of their state and jurisdiction to ensure reporting

meets STLT needs.

It is critical that the data are reported by Tuesday for the previous week (Sunday-Saturday) to count

towards compliance. For daily required fields, data must be submitted for each day in the reporting week;

for weekly required fields, data must be submitted for Wednesday in the reporting week, in order to count

for compliance. Weekly required reporting of daily values allows for ongoing collection of reliable data

needed for understanding severity and burden of COVID-19 on healthcare facilities and state of

healthcare capacity in the United States.

Data can be submitted at any point during the enforcement period; reporters do not need to wait until

Tuesday to submit their data.

Reporting Cadence

Facility description

Weekly by Tuesday 1159pm local time; data for

each during in the previous week (defined as

previous Sunday through Saturday) should be

included for daily required fields, and for

Wednesday for weekly required fields

Short-term Acute Care Hospitals

Medicaid Only Short-term Hospitals

Long-term Care Hospitals

Critical Access Hospitals

Children’s Hospitals

Medicaid Only Children’s Hospitals

General Hospitals (including acute, trauma, and

teaching)

Women’s Hospitals

Oncology Hospitals

Military Hospitals

Indian Health Service Hospitals

Veteran’s Administration Hospitals

Per Secretary discretion, Psychiatric and

rehabilitation facility federal reporting has been

set to submitting data once annually from October

to October.

Psychiatric Hospitals

Distinct Part Psych Hospitals

Medicaid Only Psychiatric Hospitals

Rehabilitation Hospitals

Medicaid Only Rehabilitation Hospitals

*We recognize that STLT partners may have reporting requirements related to or independent of the Federal

reporting requirements. Facilities are encouraged to work with relevant STLT partners to ensure complete

reporting for all partners. All hospitals are asked to follow the direction of their state and jurisdiction to

ensure reporting meets STLT needs.

Reporting Flexibilities

We recognize that reporting requires staffing resources and have implemented the following flexibilities.

All hospitals are asked to follow the direction of their state and jurisdiction to ensure reporting

meets STLT needs.

Holidays: Pending further direction from their state or jurisdiction, hospitals are not expected to report to

the Federal government on holidays unless otherwise noted; however, hospitals are requested

to report the data elements by the next Wednesday immediately following the holiday,

backdated to the appropriate date. All hospitals are asked to follow the direction of their state

and jurisdiction to ensure reporting meets STLT needs.

Weekends: Where possible and pending further direction from their state or jurisdiction, hospitals are not

expected to report on weekends; however, hospitals are requested to report the data elements

by the next Tuesday submission deadline immediately following the weekend, backdated to

the appropriate date. All hospitals are asked to follow the direction of their state and

jurisdiction to ensure reporting meets STLT needs.

Emergencies: Hospitals experiencing additional natural and/or manmade disasters such as wildfires,

hurricanes, cyber incidents, flooding, etc. can be placed in emergency suspense. Facilities

placed in emergency suspense are not required to report COVID-19 data for the duration

of the suspense. Backdated reporting is not required after the incident is resolved.

How to Report

Hospitals should report information to the Federal government through one of the methods below

Options are provided to best meet facility needs. Facilities should report at the individual hospital level,

even if hospitals share a CCN. To view the most recent templates, view the templates located on the

NHSN webpage and accompanying resources: https://www.cdc.gov/nhsn/covid19/hospital-

reporting.html.https://www.cdc.gov/nhsn/covid19/hospital-reporting.html. Additional technical materials

can also be found on https://healthdata.gov/stories/s/kjst-g9cm.

As of December 15, 2022, COVID-19 hospital data are collected through CDC’s National Healthcare

Safety Network (NHSN). Jurisdictions are able to submit data on behalf of facilities within their area,

hospital systems can submit data at an enterprise level, third-party providers can submit data on behalf of

facilities and/or jurisdictions, and hospitals can report individually. Reporting capabilities for a web

interface, CSV upload, and API are available.

Method

Description

State Certification

If your state has assumed reporting responsibility, submit all data to your state

each day, and your state will submit on your behalf. Your state can provide you

with a certification if they are authorized to submit on your behalf. States are

able to submit data via any of the below mechanisms (submitting data to

NHSN, centralized reporting system, and/or health IT vendors or another third-

party).

Submit Data to

NHSN

As of December 15, 2022, COVID-19 hospital data collection was transitioned

to NHSN. Instructions and recordings for submitting COVID-19 hospital data

to NHSN are available on the NHSN website. Instructions and recordings for

submitting COVID-19 hospital data to NHSN are available on the NHSN

website.

Centralized System

Reporting to NHSN

Centralized reporting is available for entities reporting data on behalf of

multiple facilities. If you are an individual hospital, hospital organization or

state reporting many facilities, use the available template. Note: The primary

template is identical to the previous template used to submit data to

TeleTracking.

Share Information

Directly with NHSN

through your Health

IT Vendor or Other

Third-Party

Individual hospitals and/or hospital organizations may provide authorization to

a third-party vendor for Health IT, emergency management, situational

awareness, and/or other provider for sharing data directly with HHS through

NHSN on behalf of the facility.

Note: Specific information is requested through different systems and mechanisms, such as therapeutics

data through HPOP and testing data through public health mechanisms.

Troubleshooting & Operational Status Changes

Hospitals that encounter reporting challenges, have name changes and/or changes in operational status s

should contact the NHSN helpdesk (nhsn@cdc.gov with subject line COVID19 Hospital) for assistance.

Newly established hospitals and/or hospitals with new ownership are granted a 30-day reporting

exemption to establish reporting mechanisms and protocols.

Note: Posting information publicly to hospital and/or hospital organization website using common data standards

was previously provided as an option for submitting data. This option has been removed as it was not utilized.

Data Elements

The following data elements help the Federal government understand health care system stress, capacity,

capabilities, and the number of patients hospitalized due to COVID-19. Data elements may be required or

optional and may be associated with a specific cadence. The purpose of each data element and how it

informs the Federal response is in Appendix B.

Required Data Elements: These data elements are requested from facilities to ensure a complete data

submission. Any associated Federal compliance is evaluated on required data elements only. Some data

elements are requested at each reporting interval (i.e., daily), while others are requested weekly.

Optional Data Elements: Hospital reporting on these fields is determined at a jurisdiction and/or facility

level. Hospitals are asked to follow the direction of their STLT government on reporting these fields;

otherwise, reporting is at the discretion of the facility for the purposes of federal reporting.

These data

elements are helpful to the federal response and may be used for additional analyses and planning

purposes. Note: Hospitals can continue reporting data on these fields- the fields are not being removed

from templates.

Federally Inactive Data Elements: These data elements have been made inactive for the federal data

collection and are no longer required at the federal level. Hospitals are asked to follow the direction of

their STLT government on reporting these fields, as some jurisdictions may choose to keep certain data

elements as part of the collection based on their needs. Note: Hospitals can continue reporting data on

these fields- the fields are not being removed from templates.

Daily Data Elements: Hospitals are requested to provide information on these data elements by Tuesday

for each day during the previous reporting week (Sunday through Saturday).

Weekly Data Elements: Hospitals are requested to provide information on these data elements once per

week for Wednesdays. Weekly data elements must be provided on Wednesday to count towards

compliance requirements. Wednesday data can be included in the weekly submission. The data for the

previous Wednesday would be included in the submission for that week.

Example:

Data for Sunday, June 11 – Saturday, June 17 would need to be submitted by end of day Tuesday, June

20. The required data for Wednesday, June 14 would be included in the submission due by end of day

Tuesday, June 20.

The data elements are listed in the table below by data field ID number and grouped by category:

Metadata, Capacity, Supply, Influenza, Therapeutic, Therapeutic Placeholder, and Healthcare Worker

Vaccination. The data element description, whether the field is required or optional, and the requested

cadence are indicated. A list of data elements grouped by cadence and whether they are required or

optional is available in Appendix C.

Changes to data elements are also indicated throughout the document where appropriate, in addition to the

change log in Appendix A.

We recognize that STLT partners may have reporting requirements related to or independent of the Federal

reporting requirements. Facilities are encouraged to work with relevant STLT partners to ensure complete reporting

for all partners.

• [CHANGE] Data elements that are new in this November 17, 2023 guidance are marked as

[NEW] and highlighted within the table.

• There are no new required data elements or existing data elements that have been made

optional or inactive for the federal data collection as of this November 17, 2023 guidance;

data elements that were previously made inactive for the federal data collection are also

highlighted in italics and in gray.

• Previous changes (dated June 11, 2023) are no longer marked as [CHANGE].

The purpose of each data element is available in Appendix B.

Additional details on the data elements are available in Appendix D. A visual representation of related

capacity and occupancy fields is available in Appendix E.

Data Element Table

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

Metadata

Sub

Required/Optional

Cadence

Information Needed

Description

Required

Weekly, for

all days in

week

Hospital Name

Name of hospital

Required

Weekly, for

all days in

week

CCN

Hospital CMS Certification Number (CCN)

Required

Weekly, for

All days in

week

NHSN Org ID

The NHSN-assigned facility ID

Note: NHSN Org ID is needed to submit data into the

NHSN system

Required

Weekly, for

All days in

week

State

State where the hospital is located

Required

Weekly, for

All days in

week

County

County where the hospital is located

Required

Weekly, for

All days in

week

ZIP

ZIP where the hospital is located

Optional

Weekly, for

All days in

TeleTracking ID

The identifier assigned by TeleTracking

Entities reporting on behalf of facilities are encouraged to auto-populate the relevant information on behalf of the facility.

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

week

Optional

Weekly, for

All days in

week

HHS ID

The HHS-assigned facility ID. If multiple facilities

report under the same CCN, each individual facility

will have a unique HHS ID. See Appendix D for

additional information.

Capacity, Occupancy, Hospitalizations, Admissions

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (All hospital beds)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (All adult hospital beds)

Required

Weekly, for

All days in

week

All hospital inpatient beds

Total number of all staffed inpatient beds in the

facility, that are currently set-up, staffed and able to be

used for a patient within the reporting period. This

includes all overflow, observation, and active

surge/expansion beds used for inpatients. This

includes ICU beds. Include any

surge/hallway/overflow beds that are open for use for

a patient, regardless of whether they are occupied or

available.

Required

Weekly, for

All days in

week

Adult hospital inpatient beds (Subset)

Total number of all staffed adult inpatient beds in the

facility, that are currently set-up, staffed and able to be

used for a patient within the reporting period. This

includes all overflow, observation, and active

surge/expansion beds used for inpatients. This

includes ICU beds. Include any

surge/hallway/overflow beds that are open for use for

a patient, regardless of whether they are occupied or

available. This is a subset of #3a.

Required

Weekly, for

All days in

All inpatient pediatric beds (Subset)

Total number of pediatric beds in the facility that are

currently set-up, staffed and able to be used for a

patient within the reporting period. This count

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

week

includes occupied and unoccupied inpatient pediatric

beds including both PICU and med-surge beds (beds

in which medical or surgical pediatric patients may be

routinely placed). Include any surge/hallway/overflow

beds that are open for use for a patient, regardless of

whether they are occupied or available. This count

excludes NICU, newborn nursery beds, and

outpatient surgery beds. This is a subset of #3a. This

field is required as of 2/2/2022.

Required

Weekly, for

All days in

week

All hospital inpatient bed occupancy

Total number of staffed inpatient beds that are

occupied. This reflects occupancy levels for beds

reported in #3a.

Required

Weekly, for

All days in

week

Adult hospital inpatient bed occupancy (Subset)

Total number of staffed adult inpatient beds that are

occupied. This is a subset of #4a, and reflects

occupancy levels for beds reported in #3b.

Required

Weekly, for

All days in

week

Pediatric inpatient bed occupancy (Subset)

Total number of set-up and staffed inpatient pediatric

beds that are occupied by a patient. Includes both

PICU and med-surge beds (beds in which medical or

surgical pediatric patients may be routinely placed).

Include any occupied surge/hallway/overflow beds

that are open for use. This count excludes NICU,

newborn nursery, and outpatient surgery beds

unless they are beds designated for COVID-19

positive pediatric patients. This is a subset of #4a,

and reflects occupancy levels for beds reported in #3c.

This field is required as of 2/2/2022.

Required

Weekly, for

All days in

ICU beds (Subset)

Total number of ICU beds that are currently set-up,

staffed and are or could be used for a patient within

the reporting period. This count includes occupied and

Data collection systems are encouraged to provide mechanisms for hospitals without ICUs to skip all ICU questions.

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

week

unoccupied ICU beds. This is a subset of #3a, and

includes the values for #5b and #5c.

Note: All ICU beds should be considered, regardless

of the unit on which the bed is housed. This includes

ICU beds located in non-ICU locations, such as mixed

acuity units.

Required

Weekly, for

All days in

week

Adult ICU beds (Subset)

Total number of staffed adult inpatient ICU beds that

are currently set-up, staffed and are or could be used

for a patient within the reporting period. This count

includes occupied and unoccupied ICU beds. This is

a subset of #3b and #5a. Any beds counted in #5b

should NOT be counted in #5c.

Note: All adult ICU beds should be considered,

regardless of the unit on which the bed is housed. This

includes ICU beds located in non-ICU locations, such

as mixed acuity units.

Required

Weekly, for

All days in

week

Pediatric ICU beds (Subset)

Total number of pediatric ICU beds in the facility that

are currently set-up, staffed and are or could be used

for a patient within the reporting period. This count

includes occupied and unoccupied ICU beds,

including any ICU beds that are, or could be, staffed

and used for a pediatric patient. This count excludes

NICU, newborn nursery, and outpatient surgery

beds unless they are beds designated for COVID-

19 positive pediatric patients. This is a subset of #3c

and #5a. Any beds counted in #5c should NOT be

counted in #5b. This field is required as of 2/2/2022.

Note: All pediatric ICU beds should be considered,

regardless of the unit on which the bed is housed. This

includes ICU beds located in non-ICU locations, such

as mixed acuity units.

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

Required

Weekly, for

All days in

week

ICU bed occupancy (Subset)

Total number of staffed ICU beds that are occupied.

This is a subset of #4a.

Required

Weekly, for

All days in

week

Adult ICU bed occupancy (Subset)

Total number of staffed adult ICU beds that are

occupied. This is a subset of #4b and #6a.

Required

Weekly, for

All days in

week

Pediatric ICU bed occupancy (Subset)

Total number of set-up and staffed pediatric ICU beds

occupied by a patient. This count excludes NICU,

newborn nursery, and outpatient surgery beds

unless they are beds designated for COVID-19

positive pediatric patients. This is subset of #4c and

#6a. This field is required as of 2/2/2022.

Note: All occupied pediatric ICU beds should be

considered, regardless of the unit on which the bed is

housed. This includes ICU beds located in non-ICU

locations, such as mixed acuity units.

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Total mechanical ventilators)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Mechanical ventilators in use)

Optional

Weekly, for

All days in

week

Total hospitalized adult suspected or laboratory

confirmed COVID-19 patients

Patients currently hospitalized in an adult inpatient

bed who have laboratory-confirmed or suspected

COVID-19. Include those in observation beds.

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

See Appendix D for the definition of laboratory-

confirmed COVID-19.

Required

Weekly, for

All days in

week

Hospitalized adult laboratory-confirmed

COVID-19 patients

Patients currently hospitalized in an adult inpatient

bed who have laboratory-confirmed COVID-19.

Include those in observation beds. Include patients

who have both laboratory-confirmed COVID-19 and

laboratory-confirmed influenza in this field.

See Appendix D for the definition of laboratory-

confirmed COVID-19.

Optional

Weekly, for

All days in

week

Total hospitalized pediatric suspected or

laboratory-confirmed COVID-19 patients

Patients currently hospitalized in a pediatric inpatient

bed, including NICU, PICU, newborn, and nursery,

who are suspected or laboratory-confirmed-positive

for COVID-19. Include those in observation beds.

See Appendix D for the definition of laboratory-

confirmed COVID-19.

Required

Weekly, for

All days in

week

Hospitalized pediatric laboratory-confirmed

COVID-19 patients

Patients currently hospitalized in a pediatric inpatient

bed, including NICU, PICU, newborn, and nursery,

who have laboratory-confirmed COVID-19. Include

those in observation beds. Include patients who have

both laboratory-confirmed COVID-19 and laboratory-

confirmed influenza in this field.

See Appendix D for the definition of laboratory-

confirmed COVID-19.

Optional

Weekly, for

All days in

week

Hospitalized and ventilated COVID-19 patients

Patients currently hospitalized in an adult, pediatric, or

neonatal inpatient bed who have suspected or

laboratory-confirmed COVID-19 and are on a

mechanical ventilator including adult, pediatric,

neonatal ventilators, ECMO machines, anesthesia

machines and portable/transport ventilators available

in the facility. Include BiPAP machines if the hospital

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

uses BiPAP to deliver positive pressure ventilation via

artificial airways.

Optional

Weekly, for

All days in

week

Total ICU adult suspected or laboratory-

confirmed COVID-19 patients

Patients currently hospitalized in a designated adult

ICU bed who have suspected or laboratory-confirmed

COVID-19.

See Appendix D for the definition of laboratory-

confirmed COVID-19.

Required

Weekly, for

All days in

week

Hospitalized ICU adult laboratory-confirmed

COVID-19 patients

Patients currently hospitalized in an adult ICU bed

who have laboratory-confirmed COVID-19. Include

patients who have both laboratory-confirmed COVID-

19 and laboratory-confirmed influenza in this field.

See Appendix D for the definition of laboratory-

confirmed COVID-19.

Required

Weekly, for

All days in

week

Hospitalized ICU pediatric laboratory-confirmed

COVID-19 patients

Total number of pediatric ICU beds occupied by

laboratory confirmed positive COVID-19 patients.

This is a subset of #6c, occupied pediatric ICU beds.

This count excludes NICU, newborn nursery, and

outpatient surgery beds unless they are beds

designated for COVID-19 positive pediatric

patients. This field is required as of 2/2/2022.

See Appendix D for the definition of laboratory-

confirmed COVID-19.

Optional

Weekly, for

All days in

week

Hospital Onset

Total current inpatients with onset of suspected or

laboratory-confirmed COVID-19 fourteen or more

days after admission for a condition other than

COVID-19.

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (ED/overflow)

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (ED/overflow and ventilated)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Previous day’s COVID-19 deaths)

Required

Weekly, for

All days in

week

Previous day’s adult admissions with laboratory-

confirmed COVID-19 and breakdown by age

bracket:

• 18-19

• 20-29

• 30-39

• 40-49

• 50-59

• 60-69

• 70-79

• 80+

• Unknown

Enter the number of patients by age bracket who were

admitted to an adult inpatient bed on the previous

calendar day who had laboratory-confirmed COVID-

19 at the time of admission. This is a subset of #9b.

See Appendix D for the definition of laboratory-

confirmed COVID-19.

Optional

Weekly, for

All days in

week

Previous day’s adult admissions with suspected

COVID-19 and breakdown by age bracket:

• 18-19

• 20-29

• 30-39

• 40-49

• 50-59

• 60-69

• 70-79

• 80+

• Unknown

Enter the number of patients by age bracket who were

admitted to an adult inpatient on the previous calendar

day who had suspected COVID-19 at the time of

admission. This is a subset of #9a.

Required

Weekly, for

All days in

week

Previous day’s pediatric admissions with

laboratory-confirmed COVID-19

Enter the number of pediatric patients (patients 0 – 17

years old) who were admitted to an inpatient bed

(regardless of whether the bed is designated as

pediatric vs adult), including NICU, PICU, newborn,

and nursery, on the previous calendar day who had

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

laboratory-confirmed COVID-19 at the time of

admission.

See Appendix D for the definition of laboratory-

confirmed COVID-19.

Optional

Weekly, for

All days in

week

Previous day’s pediatric admissions with

suspected COVID-19

Enter the number of pediatrics patients (patients 0 –

17 years old) who were admitted to an inpatient bed

(regardless of whether the bed is designated as

pediatric vs adult), including NICU, PICU, newborn,

and nursery, on the previous calendar day who had

suspected COVID-19 at the time of admission. This is

a subset of #10a.

Required

Weekly, for

All days in

week

Previous day’s pediatric admissions with

laboratory-confirmed COVID-19 breakdown by

age group:

• 0-4

• 5-11

• 12-17

• Unknown

Enter the number of patients, by age group, who were

admitted to an inpatient or ICU bed on the previous

calendar day who had laboratory-confirmed COVID-

19 at the time of admission. The summary of age

breakdowns should be identical to #18a.

This includes patients ages 0-4, 5-11, and 12-17 years

old admitted to any inpatient bed, regardless of

whether the bed is designated as pediatric vs. adult.

This field is required as of 2/2/2022.

See Appendix D for the definition of laboratory-

confirmed COVID-19.

Optional

Weekly, for

All days in

week

Previous day’s Emergency Department (ED)

Visits

Enter the total number of patient visits to the ED who

were seen on the previous calendar day regardless of

reason for visit. Include all patients who are triaged

even if they leave before being seen by a provider.

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

Optional

Weekly, for

All days in

week

Previous day’s total COVID-19- related ED

visits (Subset)

Enter the total number of ED visits who were seen on

the previous calendar day who had a visit related to

suspected or laboratory-confirmed COVID-19.

Do not count patients who receive a COVID-19 test

solely for screening purposes in the absence of

COVID-19 symptoms.

“Suspected” is defined as a person who is being

managed as though he/she has COVID-19 because of

signs and symptoms suggestive of COVID-19 but

does not have a laboratory-positive COVID-19 test

result.

See Appendix D for the definition of laboratory-

confirmed COVID-19.

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Previous day’s remdesivir used)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Current inventory of remdesivir)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Critical staffing shortage today (Y/N)

Optional

Weekly

, for

Wednesday

collection

date

Critical staffing shortage anticipated within a

week (Y/N)

Enter Y if you anticipate a critical staffing shortage

within a week. Enter N if you do not anticipate a

staffing shortage within a week. If you do not report

this value, the default is N. If you have a shortage,

report Y until the shortage is resolved.

Each facility should identify staffing shortages based

on their facility needs and internal policies for staffing

ratios. The use of temporary staff does not count as a

staffing shortage if staffing ratios are met according to

the facility’s needs and internal policies for staffing

ratios.

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Additional details)

Supplies

Note: Supply reporting is NOT intended to replace request for resources processes.

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Are your PPE supply items managed at the facility level or centrally)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (On hand Ventilator Supplies)

Required

Weekly

,for

Wednesday

collection

date

On hand supply duration in days: N95

respirators

Provide calculated range of days of supply in stock for

each PPE category. For supply categories that may

have varying quantities or days on hand, report the

days on hand for the item that has the lowest stock on

hand.

• 0 days

• 1-3 days

• 4-6 days

• 7-14 days

• 15-30 days

• >30 days

Calculations may be provided by your hospital’s ERP

system or by utilizing the CDC’s PPE burn rate

calculator assumptions.

Required

Weekly

for

Wednesday

collection

date

On hand supply duration in days: Surgical and

procedure masks

Required

Weekly

for

Wednesday

On hand supply duration in days: Eye protection

including face shields and goggles

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

collection

date

Required

Weekly

for

Wednesday

collection

date

On hand supply duration in days: Single-use

gowns

Required

Weekly

for

Wednesday

collection

date

On hand supply duration in days: Exam gloves

(sterile and non-sterile)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Eaches, n95 respirators)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Eaches, other respirators)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Eaches, surgical and procedural masks)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Eaches, eye protection)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Eaches, single use gowns)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Eaches, launderable gowns)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Eaches, exam gloves)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Able to obtain, ventilator supplies)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Able to obtain, ventilator medications)

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Able to obtain, n95s)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Able to obtain, other respirators)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Able to obtain, surgical and procedural masks)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Able to Obtain, eye protection)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Able to Obtain, single use gowns)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Able to Obtain, exam gloves)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Able to maintain supply of launderable gowns)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Maintain, ventilator supplies)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Maintain, ventilator medications)

Required

Weekly

for

Wednesday

collection

date in

week

Are you able to maintain at least a 3-day supply

of N95 respirators?

(Y, N, N/A) Enter Y if your facility is able to maintain

at least a 3-day supply of N95 respirators. Enter N if

your facility is not able to maintain at least a 3-day

supply of N95 respirators. Enter N/A if N95

respirators are not relevant at your facility.

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Maintain, other respirators)

Required

Weekly

for

Wednesday

collection

date in

Are you able to maintain at least a 3-day supply

of surgical and procedural masks?

(Y, N, N/A) Enter Y for each supply type for which

your facility is able to maintain at least a 3-day

supply. Enter N for those supply types your facility is

not able to maintain at least a 3-day supply. Enter N/A

for each supply type that is not relevant at your

facility.

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

week

Required

Weekly

for

Wednesday

collection

date in

week

Are you able to maintain at least a 3-day supply

of eye protection including face shields and

goggles?

Required

Weekly

for

Wednesday

collection

date in

week

Are you able to maintain at least a 3-day supply

of single-use gowns?

Required

Weekly

for

Wednesday

collection

date in

week

Are you able to maintain at least a 3-day supply

of exam gloves?

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Maintain, nasal pharyngeal swabs)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Maintain, nasal swabs)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Maintain, viral transport media)

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Reuse gowns)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Reuse PAPRS)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Reuse n95)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal government. No

change is required to reporting templates. (Additional details)

Influenza

Required

Weekly, for

all days in

the previous

week in

week

Total hospitalized patients with laboratory-

confirmed influenza virus infection

Enter the total number of patients (adult and pediatric)

currently hospitalized in an inpatient bed who have

laboratory-confirmed influenza virus infection.

Include inpatient, overflow, observation, ED, ED

awaiting orders for an inpatient bed, active

surge/expansion, ICU, NICU, PICU, newborn and

nursery. This field is required as of 2/2/2022.

See Appendix D for the definition of laboratory-

confirmed influenza.

[NEW]

Optional

[NEW]

Weekly, for

all days in

the previous

week in

week

[NEW]

Hospitalized adult patients with laboratory-

confirmed influenza virus infection

[NEW]

Patients currently hospitalized in an adult inpatient

bed who have laboratory-confirmed influenza. Include

those in observation beds. Include patients who have

laboratory-confirmed RSV and/or COVID-19 and/or

laboratory-confirmed influenza in this field

(coinfections).

See Appendix D for the definition of laboratory-

confirmed influenza.

[NEW]

Optional

[NEW]

Weekly, for

all days in

the previous

[NEW]

Hospitalized pediatric patients with laboratory-

confirmed influenza virus infection

[NEW]

Patients currently hospitalized in a pediatric inpatient

bed, including NICU, PICU, newborn, and nursery,

who have laboratory-confirmed influenza virus

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

week in

week

infection. Include those in observation beds. Include

patients who have laboratory-confirmed RSV and/or

COVID-19 and/or laboratory-confirmed influenza in

this field (coinfections).

See Appendix D for the definition of laboratory-

confirmed influenza.

Required

Weekly, for

all days in

the previous

week in

week

Previous day’s admissions with laboratory-

confirmed influenza virus infection

Enter the total number of patients (adult and pediatric)

who were admitted to an inpatient bed on the previous

calendar day who had laboratory-confirmed influenza

virus infection at the time of admission. Include

inpatient, overflow, observation, ED, ED awaiting

orders for an inpatient bed, active surge/expansion,

ICU, NICU, PICU, newborn and nursery. This field is

required as of 2/2/2022.

See Appendix D for the definition of laboratory-

confirmed influenza.

[NEW]

Optional

[NEW]

Weekly, for

all days in

the previous

week in

week

[NEW]

Previous day’s adult admissions with laboratory-

confirmed influenza virus infection

[NEW]

Enter the total number of adult patients (age 18 and

older) who were admitted to an adult inpatient bed on

the previous calendar day who had laboratory-

confirmed influenza infection at the time of

admission. Include inpatient, overflow, observation,

ED, ED awaiting orders for an inpatient bed, active

surge/expansion, ICU.

See Appendix D for the definition of laboratory-

confirmed influenza.

[NEW]

Optional

[NEW]

Weekly, for

all days in

the previous

[NEW]

Previous day’s pediatric admissions with

laboratory-confirmed influenza virus infection

[NEW]

Enter the number of pediatric patients (patients 0 – 17

years old) who were admitted to an inpatient bed

(regardless of whether the bed is designated as

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

week in

week

pediatric vs adult), including NICU, PICU, newborn,

and nursery, on the previous calendar day who had

laboratory-confirmed influenza at the time of

admission.

See Appendix D for the definition of laboratory-

confirmed influenza.

Required

Weekly, for

all days in

the previous

week in

week

Total hospitalized ICU patients with laboratory-

confirmed influenza virus infection

Enter the total number of patients (adult and pediatric)

currently hospitalized in a designated ICU bed with

laboratory-confirmed influenza virus infection. This is

a subset of #33—this value should not exceed the

value in #33. This field is required as of 2/2/2022.

See Appendix D for the definition of laboratory-

confirmed influenza.

[NEW]

Optional

[NEW]

Weekly, for

all days in

the previous

week in

week

[NEW]

Hospitalized ICU adult laboratory-confirmed

influenza patients

[NEW]

Patients currently hospitalized in an adult ICU bed

who have laboratory-confirmed influenza. Include

patients who have laboratory-confirmed RSV

and/or COVID-19, and/or laboratory-confirmed

influenza in this field (coinfections)

See Appendix D for the definition of laboratory-

confirmed influenza.

[NEW]

Optional

[NEW]

Weekly, for

all days in

the previous

week in

week

[NEW]

Hospitalized ICU pediatric laboratory-confirmed

influenza patients

[NEW]

Total number of pediatric ICU beds occupied by

laboratory confirmed influenza patients. This is a

subset of #6c, occupied pediatric ICU beds.

See Appendix D for the definition of laboratory-

confirmed influenza.

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Total hospitalized patients co- infected with both laboratory-confirmed COVID-19

and laboratory-confirmed influenza virus infection)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Previous day’s influenza deaths (laboratory-confirmed influenza virus infection)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Previous day’s deaths for patients co-infected with both COVID-19 AND laboratory-

confirmed influenza virus)

Therapeutics

As of November 2, 2022, therapeutic data are reported to the Healthcare Provider Ordering Portal (HPOP) system,. This change consolidated therapeutic

reporting for all products and ordering in one location. Please note, the data elements and/or reporting cadence may be adjusted based on therapeutic team

needs. Please follow HPOP reporting guidance starting November 2, 2022. Prior to November 2, 2022, the therapeutic data elements were required for

reporting to the Unified Hospital Data Surveillance System once weekly on Wednesdays.

This field was moved to HPOP on November 2, 2022. (Therapeutic A, Casirivimab/Imdevimab, Courses on Hand)

This field was moved to HPOP on November 2, 2022. (Therapeutic A, Casirivimab/Imdevimab, Courses Administered in Last Week)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Therapeutic B On Hand)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government. No change is required to reporting templates. (Therapeutic B Courses Administered)

This field was moved to HPOP on November 2, 2022. (Therapeutic C, Bamlanivimab/Etsevimab), Courses on Hand)

This field was moved to HPOP on November 2, 2022. (Therapeutic C, Bamlanivimab/Etsevimab, Courses Administered in Last Week)

This field was moved to HPOP on November 2, 2022. (Therapeutic D, Sotrovimab, Courses on Hand)

This field was moved to HPOP on November 2, 2022. (Therapeutic D, Sotrovimab, Courses Administered in Last Week)

Therapeutic Placeholders

As of August 10, 2022, therapeutic placeholders are inactive due to all therapeutic reporting being moved into HPOP on November 2, 2022.

As of August 10, 2022, therapeutic placeholders are being made inactive due to all therapeutic reporting being moved into HPOP on November

2, 2022.

As of August 10, 2022, therapeutic placeholders are inactive due to all therapeutic reporting being moved into HPOP on November 2, 2022.

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

As of August 10, 2022, therapeutic placeholders are inactive due to all therapeutic reporting being moved into HPOP on November 2, 2022.

Healthcare Worker Vaccination

As of August 10, 2022, healthcare worker vaccination fields are federally inactive within the Unified Hospital Data Surveillance System. As a reminder, CMS

rule CMS-1752-F and CMS-1762-F requires hospital worker vaccination rates to be reported on a regular basis into the National Healthcare Safety Network

(NHSN) as a quality measure beginning on October 1, 2021. NHSN has provided additional information and resources on the measures being collected. The

below vaccination data elements below are inactive for federal collection and do NOT meet the requirements of the CMS rule.

This field is inactive for COVID-19 hospital data collection in the NHSN Patient Safety Component, COVID-19 Hospital Data Module. Please

ensure complete reporting to NHSN Healthcare Personnel Safety Component per CMS guidance.

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance. No change

is required to reporting templates. (Current healthcare personnel, no COVID-19 vaccine doses)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance. No change

is required to reporting templates. (Current healthcare personnel, first COVID-19 vaccine dose)

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance. No change

is required to reporting templates. (Current healthcare personnel, completed COVID-19 vaccine series)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance. No change

is required to reporting templates. (Total current healthcare personnel)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance. No change

is required to reporting templates. (Patient, first COVID-19 vaccine dose)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance. No change

is required to reporting templates. (Patient, completed COVID-19 vaccine series)

Respiratory Syncytial Virus (RSV)

[NEW]

Optional

[NEW]

Weekly, for

all days in

the previous

week in

week

[NEW]

Hospitalized adult patients with laboratory-

confirmed RSV infection

[NEW]

Patients currently hospitalized in an adult inpatient

bed who have laboratory-confirmed RSV. Include

those in observation beds. Include patients who have

laboratory-confirmed RSV and/or COVID-19 and/or

laboratory-confirmed influenza in this field

(coinfections).

See Appendix D for the definition of laboratory-

confirmed RSV.

[NEW]

Optional

[NEW]

Weekly, for

all days in

the previous

week in

week

[NEW]

Hospitalized pediatric patients with laboratory-

confirmed RSV infection

[NEW]

Patients currently hospitalized in a pediatric

inpatient bed, including NICU, PICU,

newborn, and nursery, who have laboratory

confirmed RSV. Include those in observation beds.

Include patients who have laboratory-confirmed

RSV and/or COVID-19 and/or laboratory

confirmed influenza in this field (coinfections).

See Appendix D for the definition of laboratory-

confirmed RSV.

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

[NEW]

Optional

[NEW]

Weekly, for

all days in

the previous

week in

week

[NEW]

Previous day’s adult admissions with laboratory-

confirmed RSV infection

[NEW]

Enter the total number of adult patients (age 18 and

older) who were admitted to an adult inpatient bed on

the previous calendar day who had laboratory-

confirmed RSV infection at the time of admission.

Include inpatient, overflow, observation, ED, ED

awaiting orders for an inpatient bed, active

surge/expansion, ICU.

See Appendix D for the definition of laboratory-

confirmed RSV.

[NEW]

Optional

[NEW]

Weekly, for

all days in

the previous

week in

week

[NEW]

Previous day’s pediatric admissions with

laboratory-confirmed RSV infection

[NEW]

Enter the number of pediatric patients (patients 0

– 17 years old) who were admitted to an inpatient

bed (regardless of whether the bed is designated as

pediatric vs adult), including NICU, PICU,

newborn, and nursery, on the previous calendar

day who had laboratory-confirmed RSV at the

time of admission.

See Appendix D for the definition of laboratory-

confirmed RSV.

[NEW]

Optional

[NEW]

Weekly, for

all days in

the previous

week in

week

[NEW]

Hospitalized ICU adult laboratory-confirmed

RSV patients

[NEW]

Patients currently hospitalized in an adult ICU bed

who have laboratory-confirmed RSV. Include patients

who have laboratory-confirmed RSV and/or COVID-

19, and/or laboratory-confirmed influenza in this field

(coinfections).

See Appendix D for the definition of laboratory-

confirmed RSV.

[NEW]

Optional

[NEW]

Weekly, for

all days in

[NEW]

Hospitalized ICU pediatric laboratory-confirmed

RSV patients

[NEW]

Sub

Required/Optional

Reporting

Cadence

Information Needed

Description

the previous

week in

week

Total number of pediatric ICU beds occupied by

laboratory confirmed positive RSV patients. This is a

subset of #6c, occupied pediatric ICU beds.

See Appendix D for the definition of laboratory-

confirmed RSV.

* indicates information should be provided daily for each day in the previous week, NOT aggregated to weekly values

+indicates information should be provided once a week on Wednesdays

Therapeutic Data Elements

On November 2, 2022, therapeutic data reporting transitioned to the Health Partner Ordering Portal (HPOP). HPOP is an ordering portal for

requesting COVID-19 therapeutic products provided at no cost by the Administration for Strategic Preparedness and Response within the U.S.

Department of Health and Human Services. HPOP is used to order COVID-19 therapeutic products allocated by HHS/ASPR. Further information

will be provided on the therapeutic reporting transition to HPOP, with the therapeutic team determining reporting needs accordingly. While

therapeutic data will not be reported to NHSN or included in Unified Hospital Data Surveillance System reporting as of November 2, 2022,

therapeutic data remains important to the federal response. This information is needed for tracking purposes and strategic decision making. All

hospitals should follow reporting requirements through HPOP. Questions on therapeutic data reporting can be directed to:

cars_helpdesk@cdc.gov and hpop-the[email protected]ov.

Testing Data Elements: Hospitals Performing COVID-19 Testing Using an In-House Laboratory

Effective May 11, 2023, HHS announced the Public Health Emergency declaration for COVID-19 has ended. In addition, HHS and CLIA

regulatory requirements under the CARES Act Authority requiring reporting of laboratory test data to the federal government have also ended.

State-specific reporting requirements may still apply. Laboratories and testing sites should review state-specific reporting requirements for

COVID-19 testing. They may be required to continue reporting for COVID-19 testing to their State Health Departments.

Hospital Data Usage & Access

[CHANGE] Hospital data are collated, manipulated, and visualized at the Federal level in these primary locations: internally, via CDC’s National

Healthcare Safety Network (NHSN) and HHS Protect, and externally on CDC public webpages including COVID Data Tracker (CDT) and

data.cdc.gov.

HHS Protect serves as an internal hub for data analysis and visualization, allowing integration of additional datasets from other sources. Federal

decision-makers and analysts can access the data through HHS Protect directly, or indirectly through various generated reports. A variety of

Federal teams use the data as detailed in the above data element table. In addition to Federal partners, state, tribal, local, and territorial partners

also have access to the data through HHS Protect. Tribal partners are encouraged to work with the Indian Health Service (IHS) and respective state

partners to define geographical access accordingly. HHS regional staff, ASPR regional staff and/or Indian Health Service (IHS) staff serve as

HHS Protect sponsors for respective state, tribe, and territory users. Local partners also have access to the data, working in conjunction with their

respective state to define geographical access accordingly. State HHS Protect users serve as sponsors for local partners. Organizations, such as

hospital associations, can be provided access to the data if granted written permission by the state and/or an individual reporting hospital facility.

To inquire about an HHS Protect account, email the Protect Service Desk (hhsprotect@cdc.gov).

Information within HHS Protect is secured through robust usage and access controls. All users must be sponsored to gain access to HHS Protect

by the mechanisms mentioned above. All data have accompanying sharing and use agreements, specifying how and with whom the information

can be exported and shared.

As of February 2023, HHS Protect Public is no longer available. This site served as a fully public data hub, providing aggregated content and

dashboards. HHS Protect Public contained aggregated subsets of the hospital data, providing transparency for all stakeholders. More information is

listed on the banner on the HHS Protect Public webpage: https://protect-public.hhs.gov/.

Hospital Data Quality & Errors

Quality data helps to ensure informed decision-making based on accurate information. Federal partners regularly conduct data quality checks, and

may contact state and territorial partners if further information is needed. Federal partners will not contact facilities directly unless explicitly

granted permission by the state and/or in extraordinary circumstances.

Hospital data liaisons work collaboratively with state and territorial partners to increase transparency, as well as verify and resolve any data

challenges. Importantly, data liaisons work specifically with data. Operational needs and resource requests for personnel, supplies, technical

assistance, and/or other needs follow all normal processes and should NOT be directed to hospital data liaisons.

Users who identify any errors in their data are encouraged to contact the NHSN Help Desk ([email protected]).

Appendix A: Change Log

The change log details changes in the hospital reporting guidance to aid partners in tracking updates.

[CHANGE] Changes from the June 11, 2023 COVID-19 Hospital Reporting Guidance and FAQs (dated

November 17, 2023)

Data Element Changes

The following changes were made to hospital reporting data elements:

• New Data Elements Added (all optional):

o 33a. Hospitalized adult patients with laboratory-confirmed influenza virus infection

o 33b. Hospitalized pediatric patients with laboratory-confirmed influenza virus infection

o 34a. Previous day’s adult admissions with laboratory-confirmed influenza virus infection

o 34b. Previous day’s pediatric admissions with laboratory-confirmed influenza virus infection

o 35a. Hospitalized ICU adult laboratory-confirmed influenza patients

o 35b. Hospitalized ICU pediatric laboratory-confirmed influenza patients

o 48a. Hospitalized adult laboratory-confirmed RSV patients

o 48b. Hospitalized pediatric laboratory-confirmed RSV patients

o 49a. Previous day’s adult admissions with laboratory-confirmed RSV

o 49b. Previous day’s pediatric admissions with laboratory-confirmed RSV

o 50a. Hospitalized ICU adult laboratory-confirmed RSV patients

o 50b. Hospitalized ICU pediatric laboratory-confirmed RSV patients

Narrative and FAQ Changes

• The narrative and FAQs were streamlined and reorganized for clarity.

• Additional introductory information was added for clarification and describing the purpose of expanding the data collection to include

additional optional respiratory pathogen reporting.

Changes from the December 15, 2022 COVID-19 Hospital Reporting Guidance and FAQs (dated June 11,

2023)

Cadence Changes

As of the June 11, 2023 guidance, all hospitals (except psychiatric and rehabilitation hospitals) are required to data report once weekly to NHSN.

The weekly data submission should be submitted by Tuesday, 1159pm local time, and still include daily data for each day in the previous week,

defined as the previous Sunday through Saturday.

Data should NOT be aggregated to weekly values. It is critical that the data are reported by Tuesday in order to count towards compliance. For

items that were previously reported once per week, data for Wednesday during the reporting week should be included to count towards

compliance requirements.

Data Element Changes

• Data elements made optional:

o 17b: Previous day’s adult admissions with suspected COVID-19, total

o 17b-1: Previous day’s adult admissions with suspected COVID-19, 18-19 years

o 17b-2: Previous day’s adult admissions with suspected COVID-19, 20-29 years

o 17b-3: Previous day’s adult admissions with suspected COVID-19, 30-39 years

o 17b-4: Previous day’s adult admissions with suspected COVID-19, 40-49 years

o 17b-5: Previous day’s adult admissions with suspected COVID-19, 50-59 years

o 17b-6: Previous day’s adult admissions with suspected COVID-19, 60-69 years

o 17b-7: Previous day’s adult admissions with suspected COVID-19, 70-79 years

o 17b-8: Previous day’s adult admissions with suspected COVID-19, 80+ years

o 17b-9: Previous day’s adult admissions with suspected COVID-19, unknown

o 18b: Previous day’s pediatric admissions with suspected COVID-19

o 9a: Total hospitalized adult suspected or laboratory confirmed COVID-19 patients

o 10a: Total hospitalized pediatric suspected or laboratory-confirmed COVID-19 patients

o 11: Hospitalized and ventilated COVID-19 patients

o 12a: Total ICU adult suspected or laboratory-confirmed COVID-19 patients

o 13: Hospital onset

o 19: Previous day’s Emergency Department (ED) visits

o 20: Previous day’s total COVID-19- related ED visits (Subset)

Narrative and FAQ Changes

• The narrative and FAQs were streamlined and reorganized for clarity.

Changes from the August 15, 2022 COVID-19 Hospital Reporting Guidance and FAQs (dated December 15,

2022)

The only changes made in the December 15, 2022 version are updates related to the transition of reporting to the National Healthcare Safety

Network (NHSN). There are no significant changes or additions to the reporting questions as a result of this transition. Reporting

requirements will remain the same, with the only significant change being the data system and the need to use NHSN orgIDs. Information on the

transition is available on the transition website, located at https://www.cdc.gov/nhsn/covid19/transition.html.

Data Element Changes

• NHSN orgID is now needed to submit data

Changes from the previous COVID-19 Hospital Reporting Guidance and FAQs (dated January 6, 2022)

Facility Type Changes

• Psychiatric & Rehabilitation Hospitals: Per Secretary discretion, psychiatric and rehabilitation facility federal reporting has been set to

submitting data once annually from October to October. This may evolve based on needs of the national response. See Appendix D for

additional details on reporting.

Data Element Changes

Several data elements have been made inactive for federal collection within the Unified Hospital Data Surveillance System (UHDSS). Some data

elements, – while inactive or soon to be inactive in UHDSS – are being collected through other mechanisms, including vaccination and therapeutic

data. These changes have been marked as [CHANGE] and highlighted in orange. Changes from previous guidance updates are no longer marked

as changes.

On November 2, 2022, data elements related to therapeutics will be moved for collection in the Healthcare Provider Ordering Portal

(HPOP).These data elements include:

• 39a: Therapeutic A courses on hand

• 39b: Therapeutic A courses administered

• 40a: Therapeutic C courses on hand

• 40b: Therapeutic C courses administered

• 40c: Therapeutic D courses on hand

• 40d: Therapeutic D courses administered

• 40e-p: Therapeutic placeholders

Healthcare worker vaccination fields have been made federally inactive within the Unified Hospital Data Surveillance System. As a reminder,

CMS rule CMS-1752-F and CMS-1762-F requires hospital worker vaccination rates to be reported on a regular basis into the National Healthcare

Safety Network (NHSN) as a quality measure beginning on October 1, 2021.

• 41: Vaccine doses administered to healthcare personnel

• 42: Healthcare personnel, no COVID-19 vaccine

• 43: Healthcare personnel, first COVID-19 vaccine in series

• 44: Healthcare personnel, completed COVID-19 vaccine series

• 45: Total number of healthcare personnel

• 46: Patients, first COVID-19 vaccine in series

• 47: Patients, completed COVID-19 vaccine in series

Narrative Changes

• Added information on therapeutic move to HPOP.

• Added information on psychiatric and rehabilitation facility reporting in narrative and Appendix D.

• Removed therapeutic calculator from Appendix D.

• Clarifications added to narrative and/or data element notes based clarifications previously issued to date.

Changes from earlier COVID-19 Hospital Reporting Guidance and FAQs (dated May 27, 2020)

Numerous changes were implemented in the latest version of the hospital reporting guidance. To help users to navigate changes quickly, changes

are grouped based on the following areas: cadence and facility type changes; data element changes; laboratory data element changes; and narrative

and FAQ changes.

Cadence and Facility Type Changes

• Flexibilities on data reporting on weekends and holidays were clarified.

• Information describing facility types was reformatted for clarity.

Data Element Changes

The following changes were made to hospital reporting data elements:

• New Data Elements Added:

o 1h: HHS ID (Optional)

o 3c: Inpatient pediatric beds (Required February 2, 2022)

o 4c: Pediatric inpatient bed Occupancy (Required February 2, 2022)

o 5c: Pediatric ICU beds (Required February 2, 2022)

o 6c: Pediatric ICU occupancy (Required February 2, 2022)

o 12c: Hospitalized ICU pediatric laboratory-confirmed COVID-19 patients (Required February 2, 2022)

o 18c: Previous day’s pediatric admissions with laboratory-confirmed COVID-19 breakdown by age group (Required February 2,

2022)

o 40c: Therapeutic D on hand (Required January 19, 2022)

o 40d: Therapeutic D administered (Required January 19, 2022)

• Existing Data Elements Made Required:

o 33: Hospitalized patients with laboratory-confirmed influenza virus infection

o 34: Previous day’s influenza admissions with laboratory-confirmed influenza virus infection

o 35: Total hospitalized ICU patients with laboratory confirmed influenza virus infection

• Data Elements Changed to a Weekly Cadence:

o 24: Critical staffing shortage anticipated within a week (Y/N)

• Data Elements Made Inactive for the Federal Data Collection

o 2a: All Hospital Beds

o 2b: All Adult Hospital Beds

o 7: Total Mechanical Ventilators

o 8: Ventilators in Use

o 14: ED Overflow

o 15: ED Overflow and Ventilated

Note: Data elements are referred to in short-hand for enhanced readability. Full descriptions of previous data elements will be available in archived versions of

the hospital reporting guidance available on the Templates and Technical Materials page.

o 16: Previous Day’s COVID-19 Deaths

o 21: Previous Day’s Remdesivir Used

o 22: Current Inventory Remdesivir

o 23: Critical Staffing Shortage Today

o 25: Additional Details, Staffing

o 26: PPE Management at Facility or Centrally

o 27a: Days On Hand, Ventilator Supplies

o 28a: Eaches, N95 Respirators

o 28b: Eaches, Other Respirators

o 28c: Eaches, Surgical and Procedural Masks

o 28d: Eaches, Eye Protection

o 28e: Eaches, Single Use Gowns

o 28f: Eaches, Launderable Gowns

o 28g: Eaches, Exam Gloves

o 29a: Ability to Obtain, Ventilator Supplies

o 29b: Ability to Obtain, Ventilator Medications

o 29c: Ability to Obtain, N95 Respirators

o 29d: Ability to Obtain, Other Respirators

o 29e: Ability to Obtain, Surgical and Procedural Masks

o 29f: Ability to Obtain, Eye Protection

o 29g: Ability to Obtain, Single Use Gowns

o 29h: Ability to Obtain, Exam Gloves

o 29i: Ability to Maintain, Supply of Launderable Gowns

o 30a: Ability to Maintain, Ventilator Supplies

o 30b: Ability to Maintain, Ventilator Medications

o 30d: Ability to Maintain, Other Respirators

o 30i: Ability to Maintain, Nasal Pharyngeal Swabs

o 30j: Ability to Maintain, Nasal Swabs

o 30k, Ability to Maintain, Viral Transport Media

o 31a: Re-use Gowns

o 31b: Re-use PAPRs

o 31c: Re-use N95 Respirators

o 32: Additional Details, Supplies

o 36: Hospitalized Co-infection Influenza and COVID-19

o 37: Previous Day’s Influenza Deaths

o 38: Previous Day’s Deaths Co-infected with Influenza and COVID-19

o 39c: Therapeutic B Inventory On Hand

o 39d: Therapeutic B Courses Administered

• Data Elements with Clarified Definitions:

o 3a, 3b, 5a, 5b: Clarified definitions of staffed beds to beds that are currently set-up, staffed and able to be used for a patient within

the reporting period.

o 5a,5b: Added clarification on ICU bed location.

o 9a-18c: Changed from “Confirmed Positive” to “Laboratory-Confirmed”, included the definition of laboratory-confirmed.

o 11: Added definition of mechanical ventilators.

o 13: Removed note for COVID-19 isolation precautions.

o 18a, 18b: Added age and inpatient bed clarifications for pediatric patients.

o 20: Added definitions of “Confirmed Suspected” and “Laboratory-Confirmed”, included definitions. Minor non-substantive edits

to wording.

o 24: Removed staffing types.

o 27: Removed duplicative supply list from description.

o 30: Added question response options (Y, N, N/A).

o Influenza field overview: Moved to appendix D.

o 39b, 40b, 40d: Clarified the preferred “week” for reporting is Wednesday-Tuesday

o Therapeutic placeholder field overview: Minor non-substantive edits to wording.

o Vaccination field overview: Noted CMS rule CMS-1752-F and CMS-1762-F which requires hospital worker vaccination rates to

be reported on a regular basis into the National Healthcare Safety Network (NHSN) as a quality measure beginning on October 1,

2021. Clarified that vaccination data elements remain optional and do not meet the requirements of the CMS rule. Condensed

other description information.

o 41: Removed note on vaccine allocations.

o All subset fields: Clarified subset relationships, which can also be found in visual form with Appendix E.

Laboratory Data Element Changes

While the laboratory data elements themselves, as well as the guidance on how to report have not changed, the latest guidance clarifies that all

states and territories are now reporting line-level de-identified data electronically and hospitals should stop reporting directly to HHS unless

circumstances change.

Since hospitals no longer need to report the information directly and all details and frequently asked questions are readily available on the CDC

website for how to report laboratory data, all of the text describing laboratory data elements was removed from the guidance. Hospitals are still

required to report the information to their state through existing public health mechanisms.

Narrative and FAQ Changes

• The narrative and FAQs were streamlined and reorganized for clarity.

• Information was added throughout the document regarding data driving principles, purpose, and utility.

• Reporting information was reformatted for clarity.

• Multiple appendices, including clarifying information, were added for enhanced user friendliness.

Appendix B: Data Element Purpose

The below table describes how each data element is used to inform the Federal COVID-19 response.

Sub

Information Needed

Purpose

Metadata

Sub

Information Needed

Purpose

Hospital Name

Metadata ensures data can be identified and matched with the appropriate facility.

Logic is incorporated into NHSN (and should be incorporated into other systems) so

facilities do not need to answer metadata questions unless there are changes.

CCN

NHSN Org ID

State

County

ZIP

TeleTracking ID

HHS ID

Serving as an additional metadata component, HHS ID is a unique facility-level

identifier which is more granular than CCN. Not having the HHS ID in the dataset has

caused some data submissions to be mismatched.

Capacity, Occupancy, Hospitalizations, and Admissions

Sub

Information Needed

Purpose

This field has been made inactive for the federal data collection. (all hospital beds)

This field has been made inactive for the federal data collection. (all adult hospital beds)

All hospital inpatient beds

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. All hospital inpatient beds are required for

calculations such as the number of admissions per 100 beds.

Adult hospital inpatient beds (Subset)

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. Adult hospital inpatient beds are required for

analysis of number of adult and pediatric inpatient beds available.

Capacity, Occupancy, Hospitalizations, and Admissions

Inpatient pediatric beds (Subset)

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. Explicit fields on inpatient pediatric beds will aid

to more fully understand pediatric capacity.

All hospital inpatient bed occupancy

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. This field is used for analysis of national

inpatient occupancy.

Adult hospital inpatient bed occupancy (Subset)

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. This field is used for analysis of national adult

inpatient occupancy.

Pediatric hospital inpatient bed occupancy

(Subset)

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. Explicit fields on inpatient pediatric bed

occupancy will help to more fully understand pediatric capacity.

ICU beds (Subset)

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. This field is used for analysis of national ICU

bed availability.

Adult ICU beds (Subset)

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. This field is used for analysis of national adult

ICU bed availability.

Pediatric ICU beds (Subset)

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. This field is used for analysis of national

pediatric ICU bed availability.

ICU bed occupancy (Subset)

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. This field is used for understanding national ICU

bed occupancy.

Adult ICU bed occupancy (Subset)

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. This field is used for understanding national adult

ICU bed occupancy.

Pediatric ICU bed occupancy (Subset)

The capacity and occupancy fields are used to inform Federal understanding of areas

experiencing surges in hospital stress. This field is used for understanding national

pediatric ICU bed occupancy.

This field has been made inactive for the federal data collection. (Total mechanical ventilators)

This field has been made inactive for the federal data collection. (Mechanical Ventilators in Use)

Total hospitalized adult suspected or laboratory-

confirmed COVID-19 patients

This field could be helpful in the event of testing delays and/or disruptions.

Capacity, Occupancy, Hospitalizations, and Admissions

Hospitalized adult laboratory-confirmed COVID-

19 patients

Total adult patients currently hospitalized with laboratory-confirmed COVID-19 is a

key surveillance indicator for understanding severe COVID-19 epidemiology in the

U.S. and which areas are experiencing higher burden. This field is also used for various

public-facing visualizations and 7-day rolling averages.

Hospitalized pediatric suspected or laboratory-

confirmed COVID-19 patients

This field could be helpful in the event of testing delays and/or disruptions

Hospitalized pediatric laboratory-confirmed

COVID-19 patients

Total patients currently hospitalized in a pediatric inpatient bed with laboratory-

confirmed COVID-19 is a key surveillance indicator for understanding severe COVID-

19 epidemiology among children and adolescents in the U.S. and which areas are

experiencing higher burden.

Hospitalized and ventilated COVID-19 patients

This measure serves as an indication of COVID-19 severity.

Total ICU adult suspected or laboratory-

confirmed COVID-19 patients

This field could be helpful in the event of testing delays and/or disruptions.

Hospitalized ICU adult laboratory-confirmed

COVID-19 patients

Total adult patients currently in an ICU bed with laboratory-confirmed COVID-19 is a

key surveillance indicator for understanding the most severe COVID-19 cases in the

U.S. and which areas are experiencing higher burden. This is also an important

indicator for monitoring hospital stress of COVID-19.

Hospitalized ICU pediatric laboratory-confirmed

COVID-19 patients

This measure serves as a key surveillance indicator for understanding the most severe

pediatric COVID-19 cases, and which areas are experiencing higher burden related to

pediatric cases. This is also an important indicator for monitoring hospital stress of

COVID-19, especially for pediatric capabilities.

Hospital Onset

This field could be helpful to identify the prevalence of hospital acquired infections of

COVID-19.

This field has been made inactive for the federal data collection. (ED/Overflow)

This field has been made inactive for the federal data collection. (ED/Overflow and Ventilated)

This field has been made inactive for the federal data collection. (Previous day’s COVID-19 Deaths)

Previous day’s adult admissions with laboratory-

confirmed COVID-19 and breakdown by age

bracket:

• 18-19

• 20-29

• 30-39

• 40-49

Previous day admissions of patients with laboratory-confirmed COVID-19 is the

primary surveillance indicator used to monitor the epidemiology of severe COVID-19

and trends by age group in the U.S. These fields are monitored closely on a daily basis

and used to inform federal understanding of changes in trends, and these fields are often

combined with other data sources to identify areas of concern in the U.S.

Capacity, Occupancy, Hospitalizations, and Admissions

• 50-59

• 60-69

• 70-79

• 80+

• Unknown

Previous day’s adult admissions with suspected

COVID-19 and breakdown by age bracket:

• 18-19

• 20-29

• 30-39

• 40-49

• 50-59

• 60-69

• 70-79

• 80+

• Unknown

This field could be helpful in the event of testing delays and/or disruptions.

Previous day’s pediatric admissions with

laboratory-confirmed COVID-19:

Previous day pediatric admissions of patients with laboratory-confirmed COVID-19 is a

primary surveillance indicator used to monitor the epidemiology of severe COVID-19

in children and adolescents. This fields is monitored closely on a daily basis and used to

inform federal understanding of changes in trends and how pediatric admissions

compare to adult, and to identify areas of concern in the U.S.

Previous day’s pediatric admissions with

suspected COVID-19

This field could be helpful in the event of testing delays and/or disruptions.

Previous day’s pediatric admissions with

laboratory-confirmed COVID-19; stratification

by age group:

• 0-4

• 5-11

• 12-17

• Unknown

Previous day pediatric admissions of patients with laboratory-confirmed COVID-19 is a

primary surveillance indicator used to monitor the epidemiology of severe COVID-19

in children and adolescents. Additional age information can help to better understand

epidemiologic trends. This fields will be monitored closely on a daily basis and used to

inform federal understanding of changes in trends and how pediatric admissions

compare to adult, and to identify areas of concern in the U.S.

Previous day’s ED Visits

Previous day total ED visits, in conjunction with COVID-19 ED visits, is used to

monitor the epidemiology of COVID-19 by percentage of ED visits for COVID-19 and

trends by region in the U.S. These fields are used by the National Syndromic

Capacity, Occupancy, Hospitalizations, and Admissions

Surveillance Program (NSSP) to fill in COVID-19 ED data for the 30% of U.S.

hospitals not covered by NSSP.

Previous day’s total COVID-19- related ED

visits (Subset)

Previous day total COVID-19 ED visits, in conjunction with total ED visits, is used to

monitor the epidemiology of COVID-19 and trends by region in the U.S. These fields

are used by the National Syndromic Surveillance Program (NSSP) to fill in COVID-19

ED data for the 30% of U.S. hospitals not covered by NSSP.

This field has been made inactive for the federal data collection. (Previous day’s remdesivir used)

This field has been made inactive for the federal data collection. (Current inventory of remdesivir)

This field has been made inactive for the federal data collection. (Critical staffing shortage today (Y/N)

Critical staffing shortage anticipated within a

week (Y/N)

This field can help to glean information on critical staffing shortages, helping to inform

policy decisions and other potential staffing solutions. This question can also help to

inform decisions related to requests for personnel.

This field has been made inactive for the federal data collection. (Staffing shortage details)

Supplies

Sub

Information Needed

Purpose

This field has been made inactive for the federal data collection. (Are your PPE supply items managed (purchased, allocated, and/or

stored) at the facility level or centrally)

This field has been made inactive for the federal data collection. (On hand Ventilator Supplies)

On hand supply duration in days: N95

respirators

Allows HHS to assess current PPE resiliency in the event of a supply chain disruption,

for a single hospital or for hospitals overall in a local area, state, or nationwide.

On hand supply duration in days: Surgical and

procedure masks

Allows HHS to assess current PPE resiliency in the event of a supply chain disruption,

for a single hospital or for hospitals overall in a local area, state, or nationwide.

On hand supply duration in days: Eye protection

including face shields and goggles

Allows HHS to assess current PPE resiliency in the event of a supply chain disruption,

for a single hospital or for hospitals overall in a local area, state, or nationwide.

On hand supply duration in days: Single-use

gowns

Allows HHS to assess current PPE resiliency in the event of a supply chain disruption,

for a single hospital or for hospitals overall in a local area, state, or nationwide.

On hand supply duration in days: Exam gloves

(sterile and non-sterile)

Allows HHS to assess current PPE resiliency in the event of a supply chain disruption,

for a single hospital or for hospitals overall in a local area, state, or nationwide.

This field has been made inactive for the federal data collection. (Eaches, n95 respirators)

This field has been made inactive for the federal data collection. (Eaches, other respirators)

This field has been made inactive for the federal data collection. (Eaches, surgical & procedural masks)

Supplies

This field has been made inactive for the federal data collection. (Eaches, eye protection)

This field has been made inactive for the federal data collection. (Eaches, single-use gowns)

This field has been made inactive for the federal data collection. (Eaches, launderable gowns)

This field has been made inactive for the federal data collection. (Eaches, exam gloves)

This field has been made inactive for the federal data collection. (Able to obtain, ventilator supplies)

This field has been made inactive for the federal data collection. (Able to obtain, ventilator medications)

This field has been made inactive for the federal data collection. (Able to obtain, n95 respirators)

This field has been made inactive for the federal data collection. (Able to obtain, other respirators)

This field has been made inactive for the federal data collection. (Able to obtain, surgical & procedural masks)

This field has been made inactive for the federal data collection. (Able to obtain, eye protection)

This field has been made inactive for the federal data collection. (Able to obtain, single-use gowns)

This field has been made inactive for the federal data collection. (Able to obtain, exam gloves)

This field has been made inactive for the federal data collection. (Able to maintain, launderable gowns)

This field has been made inactive for the federal data collection. (Able to maintain, ventilator supplies)

This field has been made inactive for the federal data collection. (Able to maintain, ventilator medications)

Are you able to maintain at least a 3-day supply

of N95 respirators?

HHS uses hospitals’ self-assessment of the reliability of their PPE supply to identify

areas or patterns of unreliable supply that may warrant outreach and (if needed)

interventions to stabilize the supply chain.

This field has been made inactive for the federal data collection. (Able to maintain, other respirators)

Are you able to maintain at least a 3-day supply

of surgical and procedural masks?

HHS uses hospitals’ self-assessment of the reliability of their PPE supply to identify

areas or patterns of unreliable supply that may warrant outreach and (if needed)

interventions to stabilize the supply chain.

Are you able to maintain at least a 3-day supply

of eye protection including face shields and

goggles?

HHS uses hospitals’ self-assessment of the reliability of their PPE supply to identify

areas or patterns of unreliable supply that may warrant outreach and (if needed)

interventions to stabilize the supply chain.

Are you able to maintain at least a 3-day supply

of single-use gowns?

HHS uses hospitals’ self-assessment of the reliability of their PPE supply to identify

areas or patterns of unreliable supply that may warrant outreach and (if needed)

interventions to stabilize the supply chain.

Supplies

Are you able to maintain at least a 3-day supply

of exam gloves?

HHS uses hospitals’ self-assessment of the reliability of their PPE supply to identify

areas or patterns of unreliable supply that may warrant outreach and (if needed)

interventions to stabilize the supply chain.

This field has been made inactive for the federal data collection. (Able to maintain, nasal pharyngeal swabs)

This field has been made inactive for the federal data collection. (Able to maintain, nasal swabs)

This field has been made inactive for the federal data collection. (Able to maintain, viral transport media)

This field has been made inactive for the federal data collection. (Reuse gowns)

This field has been made inactive for the federal data collection. (Reuse PAPRS)

This field has been made inactive for the federal data collection. (Reuse n95 respirators)

This field has been made inactive for the federal data collection. (Critical issues)

Influenza

Sub

Information Needed

Purpose

Total hospitalized patients with laboratory-

confirmed influenza virus infection

Seasonal influenza can result in substantial burden on hospitals. These data

elements fill a critical gap in the national influenza surveillance system by

providing hospitalization data from all states and territories. These data will be

used to improve situational awareness of severe respiratory illness, make

forecasts and model influenza impact, help direct resources to address the

potential increased impact of flu and COVID-19 co-circulation and inform

guidance and recommendations for public health professionals, clinicians, and

the general public. Understanding influenza hospitalizations and admissions can

also help to understand potential strains on the PPE supply chain.

[NEW]

Hospitalized adult patients with laboratory-

confirmed influenza virus infection

[NEW]

Hospitalized pediatric patients with

laboratory-confirmed influenza virus

infection

Previous day’s influenza admissions

(laboratory- confirmed influenza virus

infection)

[NEW]

Influenza

Previous day’s adult admissions with

laboratory-confirmed influenza virus

infection

[NEW]

Previous day’s pediatric admissions with

laboratory-confirmed influenza virus

infection

Total hospitalized ICU patients with

laboratory-confirmed influenza virus

infection

[NEW]

Hospitalized ICU adult laboratory-confirmed

influenza patients

[NEW]

Hospitalized ICU pediatric laboratory-

confirmed influenza patients

This field has been made inactive for the federal data collection. (Total hospitalized patients co- infected with both laboratory-

confirmed COVID- 19 and laboratory-confirmed influenza virus infection)

This field has been made inactive for the federal data collection. (Previous day’s influenza deaths (laboratory-confirmed

influenza virus infection)

This field has been made inactive for the federal data collection. (Previous day’s deaths for patients co-infected with both

COVID-19 and laboratory- confirmed influenza virus)

Therapeutic

Sub

Information Needed

Purpose

This field was moved to HPOP on November 2, 2022. (Therapeutic A Courses on Hand)

This field was moved to HPOP on November 2, 2022. (Therapeutic A Courses Administered in Last Week )

This field has been made inactive for the federal data collection. (Therapeutic B on hand)

This field has been made inactive for the federal data collection. (Therapeutic B courses)

This field wasmoved to HPOP on November 2, 2022. (Therapeutic C Courses on Hand)

This field was moved to HPOP on November 2, 2022. (Therapeutic C Courses Administered in Last Week)

This field was moved to HPOP on November 2, 2022. (Therapeutic D Courses on Hand)

Therapeutic

This field was moved to HPOP on November 2, 2022. (Therapeutic D Courses Administered in Last Week)

Therapeutic Placeholders

Sub

Information Needed

Purpose

As of August 10, 2022, therapeutic placeholders are inactive due to all therapeutic reporting being moved into HPOP on November 2,

2022. (Placeholder, Therapeutic E Courses on Hand)

As of August 10, 2022, therapeutic placeholders are inactive due to of all therapeutic reporting being moved into HPOP on November 2,

2022. (Placeholder, Therapeutic E Courses Administered in Last Week)

As of August 10, 2022, therapeutic placeholders are inactive due to the incoming change of all therapeutic reporting being moved into

HPOP on November 2, 2022. (Placeholder, Therapeutic F Courses on Hand)

As of August 10, 2022, therapeutic placeholders are inactive due to of all therapeutic reporting being moved into HPOP on November 2,

2022. (Placeholder, Therapeutic F Courses Administered in Last Week)

As of this August 10, 2022, therapeutic placeholders are inactive due to of all therapeutic reporting being moved into HPOP on November

2, 2022. (Placeholder, Therapeutic G Courses on Hand)

As of August 10, 2022, therapeutic placeholders are inactive due to of all therapeutic reporting being moved into HPOP on November 2,

2022. (Placeholder, Therapeutic G Courses Administered in Last Week)

As of August 10, 2022, therapeutic placeholders are inactive due to of all therapeutic reporting being moved into HPOP on November 2,

2022. (Placeholder, Therapeutic H Courses on Hand)

As of August 10, 2022, therapeutic placeholders are inactive due to of all therapeutic reporting being moved into HPOP on November 2,

2022. (Placeholder, Therapeutic H Courses Administered in Last Week)

As of August 10, 2022, therapeutic placeholders are inactive due to of all therapeutic reporting being moved into HPOP on November 2,

2022. (Placeholder, Therapeutic I Courses on Hand)

As of August 10, 2022, therapeutic placeholders are inactive due to of all therapeutic reporting being moved into HPOP on November 2,

2022. (Placeholder, Therapeutic I Courses Administered in Last Week)

As of August 10, 2022, therapeutic placeholders are inactive due to of all therapeutic reporting being moved into HPOP on November 2,

2022. (Placeholder, Therapeutic J Courses on Hand)

As of August 10, 2022, therapeutic placeholders are inactive due to of all therapeutic reporting being moved into HPOP on November 2,

2022. (Placeholder, Therapeutic J Courses Administered in Last Week)

Healthcare Worker Vaccination

Sub

Information Needed

Purpose

Healthcare Worker Vaccination

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance.

(Previous week’s COVID-19 vaccination doses administered to healthcare personnel by your facility (Regardless of series or single-dose

vaccine))

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance.

(Current healthcare personnel who have not yet received any COVID-19 vaccination doses)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance.

(Current healthcare personnel who have received the first dose in a multi-series of COVID-19 vaccination doses)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance.

(Current healthcare personnel who have received a completed series of a COVID-19 vaccination or a single-dose vaccination)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance. (Total

number of current healthcare personnel)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance.

(Previous week’s number of patients and other non- healthcare personnel who received the first dose in a multi-series of COVID-19

vaccination doses)

This field has been made inactive for the federal data collection. Hospitals no longer need to report these data elements to the federal

government through the Unified Hospital Data Surveillance System. Please ensure complete reporting to NHSN per CMS guidance.

(Previous week’s number of patients who received the final dose in a series of COVID-19 vaccination doses or the single- dose vaccine by

your facility)

Respiratory Syncytial Virus (RSV)

Sub

Information Needed

Purpose

[NEW]

Hospitalized adult patients with laboratory-

confirmed RSV infection

RSV can result in substantial burden on hospitals. These data elements fill a critical gap

in the national RSV surveillance system by providing hospitalization data from all

states and territories. These data will be used to improve situational awareness of severe

respiratory illness, make forecasts and model RSV impact, help direct resources to

[NEW]

Respiratory Syncytial Virus (RSV)

Hospitalized pediatric patients with laboratory-

confirmed RSV infection

address the potential increased impact of RSV, flu, and COVID-19 co-circulation and

inform guidance and recommendations for public health professionals, clinicians, and

the general public. Understanding RSV hospitalizations and admissions can also help

to understand potential strains on the PPE supply chain.

[NEW]

Previous day’s adult admissions with laboratory-

confirmed RSV infection

[NEW]

Previous day’s pediatric admissions with

laboratory-confirmed RSV infection

[NEW]

Hospitalized ICU adult laboratory-confirmed

RSV patients

[NEW]

Hospitalized ICU pediatric laboratory-confirmed

RSV patients

Appendix C: Required and Optional Reporting Elements

The below table is intended to provide a quick reference of current required and optional data elements. The information is the same as the above

table in the “Data Elements” section, however, instead of being grouped by numerical value and field type, the data elements are grouped by

whether they are required, optional, turned off, or placeholders.

Sub ID

Information Needed

Daily Required Data Elements, to be reported once weekly (by Tuesday 1159 pm local time, for all days in previous week, Sunday

through Saturday)

(All facilities are encouraged to back-date information from weekends and holidays by the following Tuesday)

Sub ID

Information Needed

Hospital Name

Hospital CCN

NHSN Org ID

State

County

ZIP

All hospital inpatient beds

All adult inpatient beds

All pediatric inpatient beds

All hospital inpatient occupancy

All adult inpatient occupancy

All pediatric inpatient occupancy

All ICU beds

Adult ICU beds

Pediatric ICU beds

All ICU bed occupancy

Adult ICU occupancy

Sub ID

Information Needed

Pediatric ICU occupancy

Hospitalized adult laboratory-confirmed COVID-19 patients

Hospitalized pediatric laboratory-confirmed COVID-19 patients

Hospitalized ICU adult laboratory-confirmed COVID-19 patients

Hospitalized ICU pediatric laboratory-confirmed COVID-19 patients

a. (includes age

ranges)

Previous day’s adult admissions with laboratory-confirmed COVID-19 and breakdown by age

Previous day’s pediatric admissions with laboratory-confirmed COVID-19

c. (includes age

ranges)

Previous day’s pediatric admissions with laboratory-confirmed COVID-19 by age

Total hospitalized patients with laboratory-confirmed influenza virus infection

Previous day’s influenza virus infection admissions (laboratory-confirmed influenza virus infection)

Total hospitalized ICU patients with laboratory-confirmed influenza virus infection

Weekly Required Data Elements, to be reported once weekly on Tuesdays by 1159pm local time, for Wednesday collection date in

previous week

Sub ID

Information Needed

On hand supply (DURATION in days) n95 respirators

On hand supply (DURATION in days) surgical and procedure masks

On hand supply (DURATION in days) eye protection including face shields and goggles

On hand supply (DURATION in days) single use gowns

On hand supply (DURATION in days) exam gloves (sterile and non-sterile)

Are you able to MAINTAIN at least a 3-day supply of these items (y/n/n/a)? N95 respirators

Are you able to MAINTAIN at least a 3-day supply of these items (y/n/n/a)? Surgical and procedure masks

Are you able to MAINTAIN at least a 3-day supply of these items (y/n/n/a)? Eye protection including face

shields and goggles

Are you able to MAINTAIN at least a 3-day supply of these items (y/n/n/a)? Single use gowns

Weekly Required Data Elements, to be reported once weekly on Tuesdays by 1159pm local time, for Wednesday collection date in

previous week

Are you able to MAINTAIN at least a 3-day supply of these items (y/n/n/a)? Exam gloves

Required until November 2, 2022, then moved to HPOP. Therapeutic A courses on hand

Required until November 2, 2022, then moved to HPOP. Therapeutic A courses administered in the last week

Required until November 2, 2022, then moved to HPOP. Therapeutic C courses on hand

Required until November 2, 2022, then moved to HPOP. Therapeutic C courses administered in the last week

Required until November 2, 2022, then moved to HPOP. Therapeutic D courses on hand

Required until November 2, 2022, then moved to HPOP. Therapeutic D courses administered in the last week

Daily Optional Data Elements

(All facilities are encouraged to back-date information from weekends and holidays by the following Tuesday)

Sub ID

Information Needed

TeleTracking ID

HHS ID

Total hospitalized adult suspected or laboratory-confirmed COVID-19 patients

Total hospitalized pediatric suspected or laboratory-confirmed COVID-19 patients

Hospitalized and ventilated COVID-19 patients

Total ICU adult suspected or laboratory- confirmed COVID-19 patients

Hospital onset

(includes age

ranges)

Previous day’s adult admissions with suspected COVID-19 and breakdown by age

Previous day’s pediatric admissions with suspected COVID-19

Previous day’s Emergency Department (ED) Visits

Daily Optional Data Elements

(All facilities are encouraged to back-date information from weekends and holidays by the following Tuesday)

Previous day’s total COVID-19- related ED visits

[NEW]

Hospitalized adult patients with laboratory-confirmed influenza virus infection

[NEW]

Hospitalized pediatric patients with laboratory-confirmed influenza virus infection

[NEW]

Previous day’s adult admissions with laboratory-confirmed influenza virus infection

[NEW]

Previous day’s pediatric admissions with laboratory-confirmed influenza virus infection

[NEW]

Hospitalized ICU adult laboratory-confirmed influenza patients

[NEW]

Hospitalized ICU pediatric laboratory-confirmed influenza patients

[CHANGE]

Hospitalized adult laboratory-confirmed RSV patients

[CHANGE]

Hospitalized pediatric laboratory-confirmed RSV patients

[CHANGE]

Previous day’s adult admissions with laboratory-confirmed RSV

[CHANGE]

Previous day’s pediatric admissions with laboratory-confirmed RSV

[CHANGE]

Hospitalized ICU adult laboratory-confirmed RSV patients

[CHANGE]

Hospitalized ICU pediatric laboratory-confirmed RSV patients

Weekly Optional Data Elements

Sub ID

Information Needed

Critical staffing shortage anticipated within a week (Y/N)

Appendix D: Additional Information by Field Type

NHSN Org ID

The NHSN OrgID (Organization Identification Number; also called NHSN Facility ID) is a facility’s unique numeric identifier in the NHSN

application and is intended to be assigned to the brick-and-mortar level of the facility, based on its physical location and address. Further, the

NHSN orgID is important as it will be the primary identifier for facilities after the transition of the COVID-19 hospital data to NHSN and serve as

the primary key for merging historical and new data for analytic purposes moving forward.

HHS ID

HHS IDs are specified and maintained for the purposes of providing granular facility level identifiers for the purposes of this COVID-19 Guidance

for Hospital Reporting. HHS IDs provide more granular information than CCN, as HHS ID references the individual facility level. HHS IDs for

each facility are published and listed in the “HHS IDs” file hosted on healthdata.gov.

NICU Exclusions & Inclusions

NICU and nursery beds are included in some fields in the collection while being excluded from others, unless they are designated for COVID-19

positive pediatric patients. This is based on several factors including making minimal changes to existing definitions, considering analysis of this

data collection combined with additional data sources, and reducing the number of new questions where feasible. The questions allow for

epidemiologic tracking of pediatric patients regardless of age or location in the hospital, COVID-19 burden analysis for specific areas of the

hospital, ability to more granularly track occupancy, and where needed potential to infer NICU occupancy. A diagram of capacity and occupancy

fields with additional notes on NICU fields is available in Appendix E.

NICU and nursery beds are included in:

• Overall capacity and occupancy measures (fields 3a, 4a, 5a, and 6a)

• Straight counts of pediatric patients who are hospitalized or admitted with COVID-19 regardless of age or location in the hospital (fields

10b, 18a, and 18c)

NICU and nursery beds are excluded in:

• New pediatric capacity and occupancy measures (fields 3c, 4c, 5c, and 6c)

• Measures of COVID-19 burden in pediatric ICUs (field 12c)

Additional Pediatric Reporting Clarifications

For facilities without beds designated specifically for adult or pediatric patients, it is ok to report pediatric capacity as zero up until the point when

there is a pediatric patient occupying a bed, in which case numbers for fields 3c, 4c, 5c, and 6c are asked to be reflective of hospitalized pediatric

patients.

Hospitalizations and Admissions

The number of new admissions and the total patients hospitalized should generally not be the same value.

• Confirmed COVID-19 admissions are the number of new patients who were admitted to an inpatient bed on the previous calendar day

with confirmed COVID-19. This is a measure of incidence, or new patients coming into the hospital.

• Total patients hospitalized with confirmed COVID-19 are the current number of patients with confirmed COVID-19 occupying an

inpatient bed. This is a measure of prevalence, or current patients occupying a hospital bed.

If the values are reported such that the number of patients currently hospitalized are incorrectly reported as the number of new admissions, this can

cause the new admissions rate for the facility, county, and state to appear overinflated. Accuracy of these fields is important, as they are included

in a number of reports, dashboards, and datasets that are widely used by the public and the U.S. government.

A scenario example is provided below to assist in determining how to enter the data for these questions:

• On 9/8/2021, facility A had 12 adult patients with confirmed COVID-19 occupying inpatient beds at the time of data entry. On the prior

day (9/7/2021), 3 new adult patients with confirmed COVID-19 were admitted to the facility.

o The facility should enter 12 for question #9b (12 total adult patients are hospitalized with confirmed COVID-19 on 9/8/2021).

o The facility should enter 3 for question #17b (3 new adult patients with confirmed COVID-19 were admitted on the prior day).

Laboratory-Confirmed COVID-19 Definition

Do NOT include the following as “laboratory confirmed COVID-19”:

• ±Positive SARS-CoV-2 antigen test and negative SARS-CoV-2 NAAT (PCR).

Laboratory-confirmed COVID-19 positive includes:

• Positive SARS-CoV-2 antigen test only [no other testing performed]

• Positive SARS-CoV-2 NAAT (PCR) only [no other testing performed]

• ±Any other combination of SARS-CoV-2 NAAT (PCR) and/or antigen test(s) with at least one positive test.

± Include patient with serial viral test results only when the additional tests were collected within two calendar days of initial SARS-CoV-2 viral

test. Day of specimen collection is equal to day 1. Otherwise, only select the initial test method for Test Type. Tests in which specimens are

collected more than 2 calendar days apart should be considered separate tests.

Note: Several hospitals have asked for clarification on how long someone who has met the conditions for laboratory-confirmed COVID-19

remains a COVID-19 patient. We recognize that some hospitals and STLT partners have made internal definitions that have been used since

reporting began. For some, a COVID-19 patient remains a COVID-19 patient for the duration of their stay, regardless of length of stay. For

others, a COVID-19 patient stops being a COVID-19 patient after two weeks. For the purposes of reporting, hospitals are asked to please

continue to use definitions that they have used for reporting to date. For new hospitals who are starting to report, please defer first to the COVID-

19 patient definition used by your hospital system, health care coalition, hospital association, and/or STLT partner. If a definition has not been

previously determined, a default definition we suggest is for individuals to be counted as COVID-19 patients until they are no longer symptomatic

and are removed from COVID-19 isolation precautions.

Laboratory-Confirmed Influenza Virus Infection Definition

Laboratory confirmation includes detection of influenza virus infection through molecular tests (e.g., polymerase chain reaction, nucleic acid

amplification), antigen detection tests, immunofluorescence tests, and virus culture. For hospital reporting, laboratory-confirmed influenza is

defined as Influenza A and B [this includes their subtypes and lineages (e.g., A(H1N1), A(H3N2), B/Victoria, B/Yamagata)]. Parainfluenza and

Haemophilus Influenza should not be reported. A positive result in the prior 14 days whether completed as an inpatient or outpatient can be used

as the laboratory confirmation.

[CHANGE] Laboratory-Confirmed Respiratory Syncytial Virus (RSV) Infection Definition

Laboratory confirmation includes detection of RSV infection through molecular tests (e.g., polymerase chain reaction, nucleic acid amplification),

antigen detection tests, immunofluorescence tests, and virus culture. A positive result in the prior 8 days whether completed as an inpatient or

outpatient can be used as the laboratory confirmation.

Psychiatric & Rehabilitation Hospital Reporting

As of August 10, 2022, per Secretary discretion, psychiatric and rehabilitation facilities must submit data federally only once on an annual basis

which will go from October to October. This may evolve based on the needs of the national response. All hospitals are asked to follow the

direction of their state and jurisdiction to ensure reporting meets STLT needs.

• As long as psychiatric & rehabilitation hospitals have reported once since October 2021, psychiatric & rehabilitation hospital federal

reporting requirements through October 2022 are currently fulfilled.

• Psychiatric & rehabilitation hospitals will be required to report once from October 1, 2022 to October 1, 2023.

When psychiatric & rehabilitation hospitals report, reporting will still occur on a Wednesday, in exactly the same way as the reporting to date. The

only change federally is the reporting cadence- instead of reporting federally every week, psychiatric and rehabilitation hospitals will provide the

same snapshot once per year. The jurisdiction and/or hospital have discretion on which Wednesday during the October-October period the facility

will report on. All hospitals are asked to follow the direction of their state and jurisdiction to ensure reporting meets STLT needs.

Appendix E: Variable Relationships

Below is a simplified diagram of the relationships between variables 3a through 6c to help visually represent field subsets. Please note, we

recognize this is an oversimplification of bed types.

Appendix F: Template Mapping

The below table crosswalks the fields within the guidance with the data submission template. The CSV templateversion of this file is available in

the CSV Data Import section of the Hospital COVID-19 Reporting NHSN webpage: https://www.cdc.gov/nhsn/covid19/hospital-reporting.html.

Note: The template has NOT changed beyond adding new fields at the end of the template to minimize technical changes. All fields remain in the

template regardless of status.

Template Data Element Name

Sub

Status

Cadence

Format

reporting_for_date

N/A

Daily

Date

hospital_name

Required

Daily

Text

ccn

Required

Daily

Text

org_id

Required

Daily

Text

state

Required

Daily

Text

county

Required

Daily

Text

zip

Required

Daily

Text

all_hospital_beds

Federally Inactive

Number

all_adult_hospital_beds

Federally Inactive

Number

all_hospital_inpatient_beds

Required

Daily

Number

all_adult_hospital_inpatient_beds

Required

Daily

Number

all_hospital_inpatient_bed_occupied

Required

Daily

Number

all_adult_hospital_inpatient_bed_occupied

Required

Daily

Number

total_staffed_icu_beds

Required

Daily

Number

total_staffed_adult_icu_beds

Required

Daily

Number

staffed_icu_bed_occupancy

Required

Daily

Number

staffed_adult_icu_bed_occupancy

Required

Daily

Number

mechanical_ventilators

Federally Inactive

Number

mechanical_ventilators_in_use

Federally Inactive

Number

total_adult_patients_hospitalized_confirmed_and_su

spected_covid

Optional

Daily

Number

total_adult_patients_hospitalized_confirmed_covid

Required

Daily

Number

total_pediatric_patients_hospitalized_confirmed_and

_suspected_covid

Optional

Daily

Number

total_pediatric_patients_hospitalized_confirmed_cov

Required

Daily

Number

Template Data Element Name

Sub

Status

Cadence

Format

hospitalized_and_ventilated_covid_patients

Optional

Daily

Number

staffed_icu_adult_patients_confirmed_and_suspected

_covid

Optional

Daily

Number

staffed_icu_adult_patients_confirmed_covid

Required

Daily

Number

hospital_onset

Optional

Daily

Number

ed_or_overflow

Federally Inactive

Number

ed_or_overflow_and_ventilated

Federally Inactive

Number

previous_day_deaths_covid

Federally Inactive

Number

previous_day_admission_adult_covid_confirmed

Required

Daily

Number

previous_day_admission_adult_covid_confirmed_18

_19

a-1

Required

Daily

Number

previous_day_admission_adult_covid_confirmed_20

_29

a-2

Required

Daily

Number

previous_day_admission_adult_covid_confirmed_30

_39

a-3

Required

Daily

Number

previous_day_admission_adult_covid_confirmed_40

_49

a-4

Required

Daily

Number

previous_day_admission_adult_covid_confirmed_50

_59

a-5

Required

Daily

Number

previous_day_admission_adult_covid_confirmed_60

_69

a-6

Required

Daily

Number

previous_day_admission_adult_covid_confirmed_70

_79

a-7

Required

Daily

Number

previous_day_admission_adult_covid_confirmed_80

_plus

a-8

Required

Daily

Number

previous_day_admission_adult_covid_confirmed_un

known_age

a-9

Required

Daily

Number

previous_day_admission_adult_covid_suspected

Optional

Daily

Number

previous_day_admission_adult_covid_suspected_18

_19

b-1

Optional

Daily

Number

previous_day_admission_adult_covid_suspected_20

_29

b-2

Optional

Daily

Number

Template Data Element Name

Sub

Status

Cadence

Format

previous_day_admission_adult_covid_suspected_30

_39

b-3

Optional

Daily

Number

previous_day_admission_adult_covid_suspected_40

_49

b-4

Optional

Daily

Number

previous_day_admission_adult_covid_suspected_50

_59

b-5

Optional

Daily

Number

previous_day_admission_adult_covid_suspected_60

_69

b-6

Optional

Daily

Number

previous_day_admission_adult_covid_suspected_70

_79

b-7

Optional

Daily

Number

previous_day_admission_adult_covid_suspected_80

_plus

b-8

Optional

Daily

Number

previous_day_admission_adult_covid_suspected_un

known_age

b-9

Optional

Daily

Number

previous_day_admission_pediatric_covid_confirmed

Required

Daily

Number

previous_day_admission_pediatric_covid_suspected

Optional

Daily

Number

previous_day_total_ED_visits

Optional

Daily

Number

previous_day_covid_ED_visits

Optional

Daily

Number

previous_day_remdesivir_used

Federally Inactive

Number

on_hand_supply_remdesivir_vials

Federally Inactive

Number

critical_staffing_shortage_today

Federally Inactive

Yes/No

critical_staffing_shortage_anticipated_within_week

Optional

Weekly

Yes/No

staffing_shortage_details

Federally Inactive

Text

PPE_supply_management_source

Federally Inactive

Option

on_hand_ventilator_supplies_in_days

Federally Inactive

Option

on_hand_supply_of_n95_respirators_in_days

Required

Weekly

Option

on_hand_supply_of_surgical_masks_in_days

Required

Weekly

Option

on_hand_supply_of_eye_protection_in_days

Required

Weekly

Option

on_hand_supply_of_single_use_surgical_gowns_in_

days

Required

Weekly

Option

on_hand_supply_of_gloves_in_days

Required

Weekly

Option

on_hand_supply_of_n95_respirators_in_units

Federally Inactive

Number

on_hand_supply_of_PAPR_in_units

Federally Inactive

Number

Template Data Element Name

Sub

Status

Cadence

Format

on_hand_supply_of_surgical_masks_in_units

Federally Inactive

Number

on_hand_supply_of_eye_protection_in_units

Federally Inactive

Number

on_hand_supply_of_single_use_surgical_gowns_in_

units

Federally Inactive

Number

on_hand_supply_of_launderable_surgical_gowns_in

_units

Federally Inactive

Number

on_hand_supply_of_gloves_in_units

Federally Inactive

Number

able_to_obtain_ventilator_supplies

Federally Inactive

Yes/No

able_to_obtain_ventilator_medications

Federally Inactive

Yes/No

able_to_obtain_n95_masks

Federally Inactive

Yes/No

able_to_obtain_PAPRs

Federally Inactive

Yes/No

able_to_obtain_surgical_masks

Federally Inactive

Yes/No

able_to_obtain_eye_protection

Federally Inactive

Yes/No

able_to_obtain_single_use_gowns

Federally Inactive

Yes/No

able_to_obtain_gloves

Federally Inactive

Yes/No

able_to_obtain_launderable_gowns

Federally Inactive

Yes/No

able_to_maintain_ventilator_3day_supplies

Federally Inactive

Yes/No

able_to_maintain_ventilator_3day_medications

Federally Inactive

Yes/No

able_to_maintain_n95_masks

Required

Weekly

Yes/No

able_to_maintain_3day_PAPRs

Federally Inactive

Yes/No

able_to_maintain_3day_surgical_masks

Required

Weekly

Yes/No

able_to_maintain_3day_eye_protection

Required

Weekly

Yes/No

able_to_maintain_3day_single_use_gowns

Required

Weekly

Yes/No

able_to_maintain_3day_gloves

Required

Weekly

Yes/No

able_to_maintain_3day_lab_nasal_pharyngeal_swab

Federally Inactive

Yes/No

able_to_maintain_lab_nasal_swabs

Federally Inactive

Yes/No

able_to_maintain_3day_lab_viral_transport_media

Federally Inactive

Yes/No

reusable_isolation_gowns_used

Federally Inactive

Yes/No

reusable_PAPRs_or_elastomerics_used

Federally Inactive

Yes/No

reusuable_n95_masks_used

Federally Inactive

Yes/No

anticipated_medical_supply_medication_shortages

Federally Inactive

Text

total_patients_hospitalized_confirmed_influenza

Required

Daily

Number

Template Data Element Name

Sub

Status

Cadence

Format

previous_day_admission_influenza_confirmed

Required

Daily

Number

icu_patients_confirmed_influenza

Required

Daily

Number

total_patients_hospitalized_confirmed_influenza_and

_covid

Federally Inactive

Number

previous_day_deaths_influenza

Federally Inactive

Number

previous_day_deaths_covid_and_influenza

Federally Inactive

Number

teletracking_id

Optional

Weekly

Number

on_hand_supply_Therapeutic_A_courses

Moving to HPOP

November 2, 2022

Number

previous_week_Therapeutic_A_courses_used

Moved to HPOP

November 2, 2022

Number

on_hand_supply_Therapeutic_B_courses

Federally Inactive

Number

previous_week_Therapeutic_B_courses_used

Federally Inactive

Number

on_hand_supply_Therapeutic_C_courses

Moved to HPOP

November 2, 2022

Number

previous_week_Therapeutic_C_courses_used

Moved to HPOP

November 2, 2022

Number

on_hand_supply_Therapeutic_D_courses

Moved to HPOP

November 2, 2022

Number

previous_week_Therapeutic_D_courses_used

Moved to HPOP

November 2, 2022

Number

on_hand_supply_Therapeutic_E_courses

Federally Inactive

Number

previous_week_Therapeutic_E_courses_used

Federally Inactive

Number

on_hand_supply_Therapeutic_F_courses

Federally Inactive

Number

previous_week_Therapeutic_F_courses_used

Federally Inactive

Number

on_hand_supply_Therapeutic_G_courses

Federally Inactive

Number

previous_week_Therapeutic_G_courses_used

Federally Inactive

Number

on_hand_supply_Therapeutic_H_courses

Federally Inactive

Number

previous_week_Therapeutic_H_courses_used

Federally Inactive

Number

on_hand_supply_Therapeutic_I_courses

Federally Inactive

Number

previous_week_Therapeutic_I_courses_used

Federally Inactive

Number

on_hand_supply_Therapeutic_J_courses

Federally Inactive

Number

previous_week_Therapeutic_J_courses_used

Federally Inactive

Number

Template Data Element Name

Sub

Status

Cadence

Format

previous_week_personnel_covid_vaccinated_doses_

administered

Federally Inactive

Number

total_personnel_covid_vaccinated_doses_none

Federally Inactive

Number

total_personnel_covid_vaccinated_doses_one

Federally Inactive

Number

total_personnel_covid_vaccinated_doses_all

Federally Inactive

Number

total_personnel

Federally Inactive

Number

previous_week_patients_covid_vaccinated_doses_on

Federally Inactive

Number

previous_week_patients_covid_vaccinated_doses_all

Federally Inactive

Number

hhs_id

Optional

Daily

Text

all_pediatric_inpatient_beds

Required

Daily

Number

all_pediatric_inpatient_bed_occupied

Required

Daily

Number

total_staffed_pediatric_icu_beds

Required

Daily

Number

staffed_pediatric_icu_bed_occupancy

Required

Daily

Number

staffed_icu_pediatric_patients_confirmed_covid

Required

Daily

Number

previous_day_admission_pediatric_covid_confirmed

_0_4

c-1

Required

Daily

Number

previous_day_admission_pediatric_covid_confirmed

_5_11

c-2

Required

Daily

Number

previous_day_admission_pediatric_covid_confirmed

_12_17

c-3

Required

Daily

Number

previous_day_admission_pediatric_covid_confirmed

_unknown

c-4

Required

Daily

Number

[NEW]

numConfFluHospPatInPtBedAdult

Optional

Daily

Number

[NEW]

numConfFluHospPatInPtBedPed

Optional

Daily

Number

[NEW]

numConfFluNewAdmInPtBedAdult

Optional

Daily

Number

[NEW]

numConfFluNewAdmInPtBedPed

Optional

Daily

Number

[NEW]

numConfFluPatICUBedAdult

Optional

Daily

Number

Template Data Element Name

Sub

Status

Cadence

Format

[NEW]

numConfFluPatICUBedPed

Optional

Daily

Number

[NEW]

numConfRSVHospPatsAdult

Optional

Daily

Number

[NEW]

numConfRSVHospPatsPed

Optional

Daily

Number

[NEW]

numConfRSVNewAdmAdult

Optional

Daily

Number

[NEW]

numConfRSVNewAdmPed

Optional

Daily

Number

[NEW]

numConfRSVICUPatsAdult

Optional

Daily

Number

[NEW]

numConfRSVICUPatsPed

Optional

Daily

Number